PARATHYROID ADENOMA IN A CHILD AND HUNGRY BONE SYNDROME FOLLOWING SURGERY

Primary hyperparathyroidism is rare in adults, but extremely rare in children under the age of 14 years. Childhood hyperparathyroidism usually becomes manifest after 10 years of age and is most frequently caused by a single adenoma. Rarely, the "hungry bone syndrome" develops following surgery. In this case report we would like to present an 11 9/12 year old girl with bilateral genu valgum deformity owing to a single parathyroid adenoma. Furthermore, she developed the "hungry bone syndrome" following parathyroid surgery.Key Words: Hyperparathyroidism, children, hungry bone syndrome

___

  • Makhdoomi HR, Chalmers J, Campbell 1W, Browning GO. Delayed diagnosis of juvenile primary hyperparathyroidism. J R Coll Surg bdind 1996;41:351-353.
  • Huang CB, Huang SC, Chou FF, Chen WJ. Primary hyperparathyroidism in children: report of a case and a brief review of the literature. J Formos Med Assoc 1993:92:1095-1098 (PMID: 7911360-indexed for medline)
  • Angelo MD. Hyperparathyroidism. In: Behrman RE, Rliegman R, nelson WE, eds. Textbook of Pediatrics-15 th ed. The endocrine system-Disorders of parathyroid glands. 1996;527:1609-1610.
  • Szewczyk L, Rollataj W. Multifocal osteolysis
  • as a result of delayed diagnosis for primary hyperparathyroidism. Przegl Lek
  • ;5 7:133-134 (PMID: 1090 7359)
  • Schmidt H. Hyperparathyroidism. A review. Am J Surg 1980;139:657-659.
  • Rauffmann C, Leroy B, Sinnassamy P, Carlioz
  • H, Grüner M, Bensman A. A rare cause of bone pain in children: primary
  • hyperparathyroidism caused by adenoma. Arch Fr Pediatr 1993:50:771-774.
  • Rale H, Basaklar AC, Sonmez R, Uluoglu O, Demirsoy S. Hungry bone syndrome in a child following parathyroid surgery. J Pediatr Surg 1992:27:1502-1503.