Abstract

Background: Parathyroid hormone role (PTH) controls calcium level in the blood. A normal parathyroid will shut down and go to sleep if the calcium level in blood is high. The high blood calcium was a result of the PTHhypersecretion of the parathyroid gland. Hyperparathyroidism (HTP) is diagnosed when the tests showed that blood levels of calcium and parathyroid hormone were high. Parathyroidectomy was the only definitive treatment for these disorders. Material and Method: Case study, a boy, 7 years old with primary hyperparathyroidism (HPT) was analyzed retrospectively at Children Hospital No 2 in June, 2015. Results: Clinical manifestations consist of constipation, nausea, abdominal pain, pain in the muscles and elbow join, fatigue and renal calcification. The symtoms listed above are nonspecific. In this case, we only discovered 2 normal size parathyroid glands. One of them was removed and burried into muscle of anterior forearm. Post-op, level serum calcium and PTH had normal index. Conclusions: In this case, primary HPT was diagnosed when the patient had bilateral renal calcification and increasing PTH. Parathyroidectomy was one of the effective solutions for restore normal serum calcium and PTH