Zil-E-Ali Ahsan, Latif Aiza, Rashid Anam, Malik Asim, Khan Haseeb Ahmed
FMH College of Medicine, & Minimally Invasive Surgery, Lahore.
Department of General Surgery & Minimally Invasive Surgery, Lahore.
J Pak Med Assoc. 2016 Jan;66(1):101-3.
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.
甲状旁腺腺瘤是原发性甲状旁腺功能亢进的主要病因。它通常无症状，在成年人中更常见。其表现为血清中甲状旁腺激素（PTH）和钙水平升高。在青少年中其表现罕见。我们报告了一名14岁女孩的此类病例，她表现为骨痛、身材矮小和全身肌肉萎缩。她被发现膝关节有膝外翻、鸡胸、脊柱侧弯以及骨盆和颅骨的囊性改变。生化检查和甲状旁腺Tc-99m甲氧基异丁基异腈扫描确诊为甲状旁腺腺瘤。通过甲状旁腺切除术切除了该腺体。迄今为止，已报告了12例此类病例，且均无胸部、椎体或颅骨受累情况。
