Solitary parathyroid adenoma presenting with spine fracture in a paediatric patient
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Solitary parathyroid adenoma presenting with spine fracture in a paediatric patient Marichu P Mabulac*, Carol Boongaling, Sioksoan Chan-Cua From 7th APPES Biennial Scientific Meeting Nusa Dua, Bali. 14-17 November 2012 Background Solitary parathyroid adenoma is a rare cause of primary hyperparathyroidism in children. We report a case of patient who presented with difficulty in ambulating due to fracture from hypercalcemia. Case A. A. 16 years old, female referred to our service for evaluation of hypercalcemia. The patient presented with fracture at the thoraco-lumbar spine after being accidentally slipped on the floor. She sought consult at a private hospital and an orhtopedic brace was applied. Three months after the incident, the patient complaint of limping and eventually with difficulty in ambulating. She was admitted at the Philippine Orthopedic Center for spinal traction. During her admission, there was an incidental finding of hypercalcemia and the patient was referred to our institution for endocrine evaluation. The patient had history of easy fatigability, palpitations, polyuria, polydipsia, constipation (2x/week), sweating associated with weight loss about half a year prior to her recent admission. On physical examination, patient was ambulatory but limping, not in respiratory distress. Vital signs showed: BP: 100/60, HR: 96/min, RR: 20/min, afebrile. Weight: 28.6 (
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