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Normo-hormonal primary hyperparathyroidism presenting with recurrent acute pancreatitis
Bodhisattwa Mishra1, Sonalika Sahoo1, Sayantan Ray1
1Department of Endocrinology and Metabolism, AII India Institute of Medical Sciences (AIIMS), Bhubaneswar 751019, India.
JCEM Case Reports
|July 23, 2026
Summary
Primary hyperparathyroidism can present atypically with normal parathyroid hormone (PTH) levels despite hypercalcemia. This case highlights normo-hormonal primary hyperparathyroidism (NHpHPT) and its successful surgical management.
Area of Science:
- Endocrinology
- Biochemistry
- Surgical Case Report
Background:
- Primary hyperparathyroidism (PHPT) is an endocrine disorder with varied clinical and biochemical presentations.
- Recurrent acute pancreatitis can be a manifestation of hypercalcemia caused by PHPT.
- Typical biochemical findings include elevated serum calcium, low phosphate, and high parathyroid hormone (PTH).
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