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Solitary Parathyroid Adenoma: A Rare Cause of Primary Hyperparathyroidism in Children
Author(s) -
Venail Frederic,
Nicollas Richard,
Morin Denis,
Mackle Tara,
Garnier J M.,
Triglia JeanMichel,
Mondain Michel
Publication year - 2007
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/mlg.0b013e3180337d95
Subject(s) - primary hyperparathyroidism , medicine , pathological , parathyroid adenoma , adenoma , hyperparathyroidism , radiology , surgery
Solitary parathyroid adenoma is a rare cause of primary hyperparathyroidism in children. We report the cases of four children, aged 7 to 14 years old, who presented with a variety of symptoms (growth retardation, glomerulonephritis, pathological fracture, mood swings). Diagnosis was based on clinical examination, imaging, and biochemical analysis. Treatment consisted of surgical excision of the adenoma. As diagnosis was delayed in all four patients, we recommend systematically checking serum calcium levels in children with certain nonspecific symptoms. Adenoma resection usually restores normal serum calcium levels and, hence, avoids further complications.