Functions The Parathyroid Gland regulates the calcium and phosphorus concentrations in the extra-cellular fluid. The Parathyroid stimulates three processes: the mobilization of calcium in bone, enhancing absorption of calcium from the small intestine and suppression of calcium loss in urine. It also stimulates the active from of Vitamin D in the kidney. Location The Parathyroid Gland affects the bones and kidneys. They are located in the neck, near the thyroid, with two glands on each side, for a total of 4 Parathyroid Glands in the human body. Occasionally, some of the glands have been found in the chest and 8% of humans will have a total of 3 to 5 Parathyroid Glands. The glands are the size of a pea and they weigh 1.6 grams. Hormone and its Function The Parathyroid hormone is known chemically as PTH. The hormone acts on the bones and kidneys and it produces calcium and phosphorus. It secretes preprohormone into the blood by exocytosis, which is packaged in the Golgi. Preprohormone is secreted as a linear protein made up of 84 amino acids. The secretion stimulates an increase in calcium concentration in body fluids and effects these four major functions in the human body: stimulation of osteoclastsaccelerating mineral turnover and release of calcium from bone, inhibits osteoblasts- reducing the rate of calcium deposition in bone, enhances reabsorption of calcium in the kidney- reducing urinary losses, and stimulating the formation and secretion of calcitroil in the kidneys- enhances the digestive tract. PTH Therapy has been used on people with osteoporosis and has had a proven effect on increasing bone densities in those with bone diseases. Disorders Primary Hyperparathyroidism is when the parathyroid gland grows to create a tumor. The enlarged gland secretes hormones without proper regulation, resulting in elevated blood calcium concentrations, kidney stones, and decalcification of bones. Secondary Hyperparathyroidism is an excessive secretion of the parathyroid hormone, usually caused by kidney disease. This disorder results in the decalcification of bones leading to “rubber bones”. Treatment for Secondary Hyperparathyroidism includes PTH therapy, stimulating an increase in bone mass and strength. Hypoparathyroidism results in a decrease of calcium and an increase of phosphorus in the blood. Causes of this disorder are due to the removal of the parathyroid glands and it can lead to tetany, convulsions, and can be life-threatening. Hypoparathyroidism treatments include infusions of calcium and Vitamin D supplements to restore calcium into the blood. PRIMARY HYPERPARATHYROIDISM Symptoms FATIGUE EXHAUSTION WEAKNESS FEQUENT URINATION URINATION AT NIGHT BONE PAIN BACK PAIN CONSTIPATION LOSS OF APPETITE Associated Disorders NEPHROLITHIASIS (KIDNEY STONES) BLOOD IN URINE BONE FRACTURE GOUT JOINT SWELLING WEIGHT LOSS ULCER ULCERS HYPERTENSION/DEPRESSION http://www.surgery.wisc.edu/general/images/patients_endocrine_1.jpg www.vivo.colostate.edu/hbooks/pathphys/endocrine/thyroid/pth.html