investigations

Last reviewed 01/2018

Diagnosis is based on:

  • low serum calcium
  • increased plasma phosphate - low in hypocalcaemia due to intestinal malabsorption or vitamin D deficiency
  • normal alkaline phosphatase - raised in hypocalcaemia due to chronic renal failure
  • skull radiology may reveal basal ganglia calcification
  • PTH: low plasma levels
  • urinary cAMP excretion rises following administration of PTH