Belgian Journal of Paediatrics
Vomiting, constipation, and weight loss as presenting symptoms of primary hyperparathyroidism in a paediatric patient: a case report
Vol. 26 No. 1 (2024), Case reports
Vol. 26 No. 1 (2024)

Vomiting, constipation, and weight loss as presenting symptoms of primary hyperparathyroidism in a paediatric patient: a case report

Case reports
Published 2024-04-29
Anneleen Engelen
University of Antwerp, Antwerp University Hospital, Department of Paediatrics, Edegem, Belgium
https://orcid.org/0009-0000-3061-9750
Eline Hensels
University of Antwerp, Antwerp University Hospital, Department of Paediatrics, Edegem, Belgium
Marieke Den Brinker
University of Antwerp, Antwerp University Hospital, Department of Paediatrics, Edegem, Belgium ; University of Antwerp, Laboratory of Experimental Medicine and Paediatrics and member of the Infla-Med Centre of Excellence, Antwerp, Belgium
Hilde Dotremont
University of Antwerp, Antwerp University Hospital, Department of Paediatrics, Edegem, Belgium
Annick France
University of Antwerp, Antwerp University Hospital, Department of Paediatrics, Edegem, Belgium
Karolien Van De Maele
University of Antwerp, Antwerp University Hospital, Department of Paediatrics, Edegem, Belgium ; University of Antwerp, Laboratory of Experimental Medicine and Paediatrics and member of the Infla-Med Centre of Excellence, Antwerp, Belgium
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Keywords

primary hyperparathyroidism
hypercalcemia
paediatrics
case report

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How to Cite

Engelen, A., Hensels, E., Den Brinker, M., Dotremont, H., France, A., & Van De Maele, K. (2024). Vomiting, constipation, and weight loss as presenting symptoms of primary hyperparathyroidism in a paediatric patient: a case report. Belgian Journal of Paediatrics, 26(1), 65–67. Retrieved from http://www.belgjpaediatrics.com/index.php/bjp/article/view/256
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Abstract

A 15-year-old boy presented with vomiting, constipation and weight loss. Venous blood gas showed high ionised calcium. Serum calcium and parathormone were elevated. ECG showed signs consistent with hypercalcaemia. CT-scan of the parathyroid glands showed two nodules suspicious for adenoma. Symptomatic hypercalcaemia was treated with intravenous hyperhydration and bisphosphonates. Electrolyte imbalances were supplemented. Definitive treatment consisted of parathyroidectomy. There were no postoperative complications, calcium homeostasis was restored.

PHPT is uncommon in paediatric patients and can present with a diverse range of symptoms. Knowledge of its primary diagnosis and treatment is important for general paediatricians, especially in cases of hypercalcaemia.

 

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