Primary Hyperparathyroidism in Children A Case Report

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Primary hyperparathyroydism in childhood is a rare occurence.The present report is of a 13-year-old girl who explained of pain and varus deformity of the hip joint for 2 years.On the laboratory examinations, hypercalcemia, hypophosphatemia, hypercalciuria, hyperposphaturia and increased serum alkaline phosphatase were found.Parathyroid gland function tests were of its hyperfunction.On the radiographic examination of long bones, skull and fingers, diffuse resorption and cystic areas wewe seen. A small tumor was found at the right lower pole of the thyroid.A diagnosis of primary hyperparathyroidism was made and surgical exstirpation was performed. The histological diagnosis was a chief cell adenoma of parathyroid gland.After exstirpation, serum calcium and phosphorous concentration gradually become within normal limmits and hip pain was diminished. Lately we performed valgus osteotomy of the Femur, for its varus deformity.
西日本整形・災害外科学会の論文