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[Hematuria revealing primary hyperparathyroidism in a child]
L Ichay1, D Morin, F Dalla-Vale
1Service de pédiatrie I, hôpital Arnaud-de-Villeneuve, Montpellier, France.
Background:
Hematuria rarely reveals primary hyperparathyroidism in the child.
Case Report:
A 10-year-old boy presented with gross hematuria and urolithiasis. Biological findings showed hypercalcemia and hypercalciuria. Initially, parathormone plasma levels remained within normal range, but raised after a few months and at that time, ultrasound scan examination showed a parathyroid adenoma. Nevertheless, two surgical explorations were necessary to cure hypercalcemia and hyperparathyroidism. Histological aspects of parathyroid adenoma were not found on pathological examination.
Conclusion:
Symptomatic hypercalciuria may be the first symptom revealing primary hyperparathyroidism in children. Surgical treatment remains difficult in such a case.