Calcified Clues: Incidental Discovery of Secondary Hyperparathyroidism

Authors

  • Erin Oleksak, OMS-III
  • Taylor Kowalski, DO Ascension St. Vincent
  • Jennifer Mundell, MD Ascension St. Vincent

Keywords:

Secondary hyperparathyroidism, Parathyroid hormone, Chronic Kidney Disease

Abstract

ABSTRACT: Secondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease (CKD), characterized by disturbances in calcium, phosphate, vitamin D and parathyroid hormone (PTH) homeostasis. We present the case of a 57-year-old woman with CKD IV who was admitted for gastrointestinal bleeding and subsequently found to have markedly elevated PTH levels and widespread calcifications. This case highlights the importance of routine monitoring in CKD patients to identify SHPT early and prevent systemic complications.

Author Biographies

Taylor Kowalski, DO, Ascension St. Vincent

PGY1 Internal Medicine Resident 

Jennifer Mundell, MD, Ascension St. Vincent

Ascension St. Vincent

Program Director, Transitional Year Residency 

Associate Program Director, Internal Medicine Residency  

Med School: University of Louisville School of Medicine

Residency: Ascension St. Vincent, Indianapolis

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Published

09/20/2026

Issue

Vol. 2 No. 1 (2026): Beyond the White Coat

Section

Case Studies

License

Copyright (c) 2026 Beyond The White Coat

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