Presentation of parathyroid adenoma with genu valgum and thoracic deformities

Parathyroid adenoma is the main cause of primary hyperparathyroidism. It is usually asymptomatic and occurs more commonly in adults. It presents with raised parathormone (PTH) and Ca+ levels in serum. Its presentation in adolescence is rare. We report one such incidence of a 14 years old girl who pr...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2016-01, Vol.66 (1), p.101-103
Main Authors: Zil-E-Ali, Ahsan, Latif, Aiza, Rashid, Anam, Malik, Asim, Khan, Haseeb Ahmed
Format: Article
Language:English
Subjects:
Adenoma
Adenoma - complications
Adenoma - diagnostic imaging
Adenoma - surgery
Adolescent
Female
Genu Valgum - diagnostic imaging
Genu Valgum - etiology
Humans
Hypercalcemia - blood
Hypercalcemia - diagnosis
Hypercalcemia - etiology
Hyperparathyroidism, Primary - blood
Hyperparathyroidism, Primary - complications
Hyperparathyroidism, Primary - diagnosis
Hyperparathyroidism, Primary - surgery
Parathyroid Hormone - blood
Parathyroid hormones
Parathyroid Neoplasms - complications
Parathyroid Neoplasms - diagnostic imaging
Parathyroid Neoplasms - surgery
Parathyroidectomy
Pectus Carinatum - diagnostic imaging
Pectus Carinatum - etiology
Pelvic Bones - diagnostic imaging
Radiography
Radiopharmaceuticals
Scoliosis - diagnostic imaging
Scoliosis - etiology
Skull - diagnostic imaging
Technetium Tc 99m Sestamibi
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Summary:Parathyroid adenoma is the main cause of primary hyperparathyroidism. It is usually asymptomatic and occurs more commonly in adults. It presents with raised parathormone (PTH) and Ca+ levels in serum. Its presentation in adolescence is rare. We report one such incidence of a 14 years old girl who presented with bone pains short stature, and generalized muscle wasting. She was found to have genu valgum at the knee joint, pectus carniatum, scoliosis and cystic changes in pelvis and calvarium. Biochemical investigations and parathyroid Tc-99mMIBI scan confirmed the diagnosis of a parathyroid adenoma. The gland was removed by parathyroidectomy. Till date 12 such cases are reported and none had thoracic, vertebral or calvarium involvement.
ISSN:0030-9982