Primary hyperparathyroidism presenting with acute XXXX and asymptomatic bone involvement.

@entity1 @entity788 @entity3018 @entity391 @entity1483 @entity79 @entity460 @entity490 @entity3243 @entity560
UNASSIGNED: A 15-year-old female @entity1 presented to the emergency room with @entity391 and @entity490 . She had two similar attacks in the previous three months both of them were diagnosed as @entity788 in two different hospitals. On admission, her serum @entity460 and parathyroid hormone levels were very high. CT scan revealed left inferior @entity3243 . Investigations to rule out possible @entity3018 were all negative. The @entity1 was managed by intravenous fluids and @entity1483 to lower her serum @entity460 level. Then, left inferior parathyroidectomy was done. Postoperatively, the @entity1 had @entity79 with severe hypocalcaemia and was managed by intravenous @entity460 infusion for five days in the intensive care unit. Later, she was kept on oral @entity460 and @entity560 supplementation. She became symptom-free and her serum @entity460 improved gradually.
