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Clinical Pediatrics
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Diagnostic Yield of Parathyroid Hormone Testing in Children Evaluated for Hypercalciuria

Christina Lo, MD

Department of Pediatrics, Division of Nephrology, Schneider Children’s Hospital of the North Shore-Long Island Jewish Health System

Yael Zucker

Department of Pediatrics, Division of Nephrology, Schneider Children’s Hospital of the North Shore-Long Island Jewish Health System

Bernard G. Gauthier, MB, BS, FRACP

Department of Pediatrics, Division of Nephrology, Schneider Children’s Hospital of the North Shore-Long Island Jewish Health System

Marcela Vergara, MD

Department of Pediatrics, Division of Nephrology, Schneider Children’s Hospital of the North Shore-Long Island Jewish Health System

Rachel Frank, RN

Department of Pediatrics, Division of Nephrology, Schneider Children’s Hospital of the North Shore-Long Island Jewish Health System

Suzanne Vento, RN

Department of Pediatrics, Division of Nephrology, Schneider Children’s Hospital of the North Shore-Long Island Jewish Health System

Howard Trachtman, MD

Department of Pediatrics, Division of Nephrology, Schneider Children’s Hospital of the North Shore-Long Island Jewish Health System

Hypercalciuria is a frequent cause of non-glomerular hematuria in pediatric patients. Because hypercalciuria can be secondary to primary hyperparathyroidism, measurement of serum parathyroid hormone (PTH) levels is often performed in children with this urinary abnormality. A retrospective chart review was performed to determine the diagnostic yield of PTH measurements when performed under these clinical circumstances. Over a 30-month period (January 1, 2001 to September 30, 2003), among 31 children who had a PTH determination, the level was elevated in 1 (3%) patient. Based on these findings and the serious nature of untreated primary hyperparathyroidism, serum PTH level should be measured in pediatric patients with newly diagnosed hypercalciuria.

Clinical Pediatrics, Vol. 43, No. 8, 725-727 (2004)
DOI: 10.1177/000992280404300806
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