2015, Number 2
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Rev Cuba Endoc 2015; 26 (2)
Parathyroid hyperplasia in an adolescent
Marichal MS, Araujo HO, Gálvez PE, Labrada AE, Vialat SV, Sáenz GJ
Language: Spanish
References: 24
Page: 172-181
PDF size: 205.56 Kb.
ABSTRACT
Sporadic primary hyperparathyroidism is one of the causes of hypercalcemia in
pediatric ages. A very uncommon condition, it is even less frequent when caused by
parathyroid hyperplasia. A presentation is provided of the case of an adolescent
with a history of renal lithiasis, hypercalcemia associated to high parathyroid
hormone values, and imaging suggestive of lower left parathyroid adenoma by gammagraphy with sestamibi marked with technetium-99m. Surgical exeresis of
the affected gland was performed. Anatomopathological examination of the piece
revealed the presence of parathyroid hyperplasia. This case presentation
contributes to the recognition of primary hyperparathyroidism as one of the
diagnostic possibilities when evaluating a pediatric patient with hypercalcemia.
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