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Published on: August 17, 2022
A Rare Case of a Giant Parathyroid Adenoma in a Young Male Patient
Sheon Baby1, Natalia Pereira1, Shirley Kim1
1Internal Medicine, University of Florida Health, Gainesville, USA.
Abstract:
A giant parathyroid adenoma (GPTA) is a rare type of primary hyperparathyroidism (PHPT) characterized by a weight of at least 3.5 g. We report a case of a 24-year-old male patient who presented with generalized fatigue and pathological left humeral fracture, found to have a serum calcium level of 16.9 mg/dL and a parathyroid hormone (PTH) level of 3,164 pg/mL. A 5.4 g right inferior type E parathyroid adenoma was excised with normalization of PTH levels. His clinical course was complicated by hungry bone syndrome and required management by a multidisciplinary team involving internal medicine, endocrinology, endocrine surgery, orthopedic surgery, nephrology, thoracic surgery, and genetics.
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