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Pediatric Hyperparathyroidism with Renal Involvement: Case Study in Manila

This case study discusses the skeletal survey and sonographic findings of a 15-year-old male student from Manila diagnosed with hyperparathyroidism. The patient presented with shortening of height and diffuse kidney parenchymal changes. Analysis of laboratory results revealed elevated PTH and abnormal calcium, phosphorus, and ALP levels, supporting the diagnosis. The differential diagnosis includes renal osteodystrophy, osteoporosis, osteomalacia, and rheumatic diseases. The study emphasizes the importance of early detection and management in pediatric hyperparathyroidism cases.

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Pediatric Hyperparathyroidism with Renal Involvement: Case Study in Manila

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Presentation Transcript

  1. General Information • CL • 15 year old, male • Student • Manila • Informant: patient and grandmother • Reliability : good

  2. Shortening of Height Chief Complaint

  3. History

  4. SKELETAL SURVEY

  5. SONOGRAPHIC FINDINGS

  6. IMPRESSION • Upper limits in kidney size for this age group with diffuse parenchymal changes • Hydronephrosis Grade I, bilateral, more pronounced at the left • Cystitis

  7. Other Diagnostic Exams • Laboratory: • PTH: 3329 pg/ml (11-54 pg/ml) • Ionized Ca: 1.86 mmol/L (1.1-1.35 mmol/L) • Phos: 2.62 mg/dL (2.4-4.7 mg/dL) • ALP: 3202.60 u/L (40-129 u/L)

  8. Hyperparathyroidism Impression

  9. Differential Diagnosis • Hyperparathyroidism • Renal Osteodystrophy • Osteoporosis, Osteomalacia • Rheumatic diseases (RA, AS)

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