Urine Calcium (24-Hour)

Urine Chemistry

Normal Reference Ranges

Adult

100 - 300 (diet-dependent) mg/day

Pediatric

Varies by weight mg/day

Clinical Significance

Important for evaluating nephrolithiasis risk and staging hypercalcemia (specifically distinguishing primary hyperparathyroidism from FHH).

Causes of High

  • Hyperparathyroidism
  • Sarcoidosis
  • Loop diuretics
  • Excessive Vitamin D
  • Bone metastases

Causes of Low

  • Familial Hypocalciuric Hypercalcemia (FHH)
  • Hypoparathyroidism
  • Vitamin D deficiency
  • Thiazide diuretics