Primary hyperparathyroidism in a 14-year-old boy – a case report

Introduction Primary hyperparathyroidism (PHPT) is an unusual childhood disease characterized by excessive secretion of parathyroid hormone (PTH). Its presentation may consist nonspecific symptoms. Consequently, physicians have trouble diagnosing the as they fail to check level calcium or PTH. Aim To describe a case paediatric patient with primary hyperparathyroidism, who was successfully diagnosed and treated. Case study A 14-year-old boy admitted Paediatric Department suspected PHPT after performing tests at Endocrinology Outpatient Clinic, which revealed hypercalcaemia high PTH level. The ordering motivated non-specific symptoms that could indicate PHPT. ultrasonography, single photon emission computed tomography neck Tc-99m MIBI scintigraphy upper thorax were performed, presence hypoechogenic structure focal accumulation marker, consistent adenoma. qualified for surgical treatment, resulted in resolution pathological Results discussion Because rare among patients, initially characterised clinical picture, it usually when advanced organ changes occur. Screening tests, such determinations, are also not routinely ordered this age group. Once diagnosis made, treatment largely supportive includes prevention life-threatening complications. Conclusions adenoma managed multidisciplinary approach combining input from endocrinologists, radiologists surgeons.