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What is A 30 years female has lowr serum calcium and phosphate with elevated parathoramone. Diagnosis is - and explain in detail?
Ans. is 'a' i.e., Vitamin D deficiency o Vitamine D deficiency will have: -Low calciumLow phosphateHigh alkaline phosphataseHigh parathormone level (secondary hyperparathyroidism)About other optionso In primary hyperparathyroidism : -High calciumLow phosphateHigh alkaline phosphataseHigh parathormone levelo In osteoporosis all these parameters are normal.o In Paget's disease calcium and phosphate levels are normal. Serum alkaline phosphatase is raised.