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J Parathyr Dis. 2024;12: e11219.
doi: 10.34172/jpd.2023.11219
  Abstract View: 509
  PDF Download: 293

Epidemiology and Prevention

Primary hyperparathyroidism presenting as slipped capital femoral epiphysis; a patient assessment and literature review

Shikhil Puzhakkal 1 ORCID logo, Farhana Chathoth Kannoli 2 ORCID logo, Pradeep Puthen Veetil 2* ORCID logo

1 Department of Endocrine Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India
2 Department of Pathology, Baby Memorial Hospital, Kozhikode, Kerala, India
*Corresponding Author: Pradeep Puthan Veetil, Email: pradeepputhenveetil@yahoo.co.in

Abstract

Primary hyperparathyroidism associated with slipped capital femoral epiphysis (SCFE) is rare. We report a case of a 14-year-old girl who presented with limping of gait and was diagnosed to have bilateral SCFE and underwent screw fixation of both hips. She had pain involving multiple joints and tenderness on further evaluation and was found to have biochemical hyperparathyroidism. The patient was initially managed medically, and further investigations revealed a parathyroid lesion in the right superior location. Workup for multiple endocrine neoplasia was negative. She underwent right superior parathyroid adenoma excision, and post-operatively, she was cured of the disease. On follow-up, she is asymptomatic, and her calcium is within normal limits. A literature review showed that SCFE is associated with severe hyperparathyroidism in adolescents.

Please cite this paper as: Puzhakkal S, Chathoth Kannoli F, Puthen Veetil P. Primary hyperparathyroidism presenting as slipped capital femoral epiphysis; a patient assessment and literature review. J Parathyr Dis. 2024;12:e11219. doi:10.34172/jpd.2023.11219.
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Submitted: 10 Jul 2023
Accepted: 11 Nov 2023
ePublished: 24 Dec 2023
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