A case report of primary hyperparathyroidism in an adolescent during Ramadan fast
Primary hyperparathyroidism is rare in children and usually presents with nonspecific symptoms. Ramadan fasting has been reported to unmask the diagnosis of primary hyperparathyroidism. A 15-year-old boy presented to the clinic for an emergency department follow up visit. He had started Ramadan fast...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-03-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X241241439 |
| _version_ | 1797244590816755712 |
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| author | Ujunwa Justina Eze Sundus Elfadil |
| author_facet | Ujunwa Justina Eze Sundus Elfadil |
| author_sort | Ujunwa Justina Eze |
| collection | DOAJ |
| description | Primary hyperparathyroidism is rare in children and usually presents with nonspecific symptoms. Ramadan fasting has been reported to unmask the diagnosis of primary hyperparathyroidism. A 15-year-old boy presented to the clinic for an emergency department follow up visit. He had started Ramadan fasting a week before his presentation to the clinic. He reported unintentional weight loss, abdominal pain, constipation, frequent headaches, exercise intolerance, tiredness, and palpitations. Physical examination was unremarkable except that he looked tired. Investigations revealed elevated calcium and parathyroid hormone, hypophosphatemia, low vitamin D, and parathyroid adenoma. He underwent parathyroidectomy, leading to a decrease in parathyroid hormone levels. He did well postoperatively, and by his 11-month follow-up visit, his calcium was back to a normal level, he was energetic, and had gained weight. A high index of suspicion is required to diagnose primary hyperparathyroidism in young patients, especially young Ramadan-fasting patients, who mostly present with vague nonspecific symptoms. |
| first_indexed | 2024-04-24T19:13:26Z |
| format | Article |
| id | doaj.art-cd33581e8d1f40338cc2a2d5d0798212 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-04-24T19:13:26Z |
| publishDate | 2024-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-cd33581e8d1f40338cc2a2d5d07982122024-03-26T09:04:43ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2024-03-011210.1177/2050313X241241439A case report of primary hyperparathyroidism in an adolescent during Ramadan fastUjunwa Justina Eze0Sundus Elfadil1Pediatric Medicine Clinic, WellSpan Pediatric Medicine – Cornwall Road, Lebanon, PA, USAPediatric Medicine Clinic, WellSpan Pediatric Medicine – Cornwall Road, Lebanon, PA, USAPrimary hyperparathyroidism is rare in children and usually presents with nonspecific symptoms. Ramadan fasting has been reported to unmask the diagnosis of primary hyperparathyroidism. A 15-year-old boy presented to the clinic for an emergency department follow up visit. He had started Ramadan fasting a week before his presentation to the clinic. He reported unintentional weight loss, abdominal pain, constipation, frequent headaches, exercise intolerance, tiredness, and palpitations. Physical examination was unremarkable except that he looked tired. Investigations revealed elevated calcium and parathyroid hormone, hypophosphatemia, low vitamin D, and parathyroid adenoma. He underwent parathyroidectomy, leading to a decrease in parathyroid hormone levels. He did well postoperatively, and by his 11-month follow-up visit, his calcium was back to a normal level, he was energetic, and had gained weight. A high index of suspicion is required to diagnose primary hyperparathyroidism in young patients, especially young Ramadan-fasting patients, who mostly present with vague nonspecific symptoms.https://doi.org/10.1177/2050313X241241439 |
| spellingShingle | Ujunwa Justina Eze Sundus Elfadil A case report of primary hyperparathyroidism in an adolescent during Ramadan fast SAGE Open Medical Case Reports |
| title | A case report of primary hyperparathyroidism in an adolescent during Ramadan fast |
| title_full | A case report of primary hyperparathyroidism in an adolescent during Ramadan fast |
| title_fullStr | A case report of primary hyperparathyroidism in an adolescent during Ramadan fast |
| title_full_unstemmed | A case report of primary hyperparathyroidism in an adolescent during Ramadan fast |
| title_short | A case report of primary hyperparathyroidism in an adolescent during Ramadan fast |
| title_sort | case report of primary hyperparathyroidism in an adolescent during ramadan fast |
| url | https://doi.org/10.1177/2050313X241241439 |
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