JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v6i1.2517 jpsim.v6i1.2517 Case Report Parathyroid Adenoma Presenting with Severe Skeletal Deformities Saeed Muhammad Khawar khawarcapri@gmail.com * Siddique Faryal Mishaal Fatima Memorial Hospital, Lahore *Correspondence: Muhammad Khawar Saeed (khawarcapri@gmail.com) 10 03 2025 2025 6 1 82 85 26 07 2024 18 02 2025 23 02 2025 Copyright © 2025 The Author(s) 2025 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Parathyroid adenoma (PA) is the most common cause of primary hyperparathyroidism. Parathyroid hyperplasia and cancer are rare, accounting for less than 1% of cases1. PA is typically identified via ultrasonography. We present a case of a 17-year-old female with severe skeletal deformities and extensive osteolytic lesions. She underwent parathyroid adenoma excision and subsequently developed hungry bone syndrome, requiring calcium and vitamin D supplementation. Isolated skeletal abnormalities as the primary manifestation of parathyroid adenoma are rare.

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