Belgian Journal of Paediatrics
Vomiting, constipation, and weight loss as presenting symptoms of primary hyperparathyroidism in a paediatric patient: a case report
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Keywords

primary hyperparathyroidism
hypercalcemia
paediatrics
case report

Categories

How to Cite

Engelen, A., Hensels, E., Den Brinker, M., Dotremont, H., France, A., & Van De Maele, K. (2024). Vomiting, constipation, and weight loss as presenting symptoms of primary hyperparathyroidism in a paediatric patient: a case report. Belgian Journal of Paediatrics, 26(1), 65–67. Retrieved from http://belgjpaediatrics.com/index.php/bjp/article/view/256

Abstract

A 15-year-old boy presented with vomiting, constipation and weight loss. Venous blood gas showed high ionised calcium. Serum calcium and parathormone were elevated. ECG showed signs consistent with hypercalcaemia. CT-scan of the parathyroid glands showed two nodules suspicious for adenoma. Symptomatic hypercalcaemia was treated with intravenous hyperhydration and bisphosphonates. Electrolyte imbalances were supplemented. Definitive treatment consisted of parathyroidectomy. There were no postoperative complications, calcium homeostasis was restored.

PHPT is uncommon in paediatric patients and can present with a diverse range of symptoms. Knowledge of its primary diagnosis and treatment is important for general paediatricians, especially in cases of hypercalcaemia.

 

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