Primary hyperparathyroidism (PHPT) and postoperative hungry bone syndrome are very rare conditions in adolescents, and may be frequently misdiagnosed as a metastatic bone tumor. However, delay in diagnosis may lead to a fatal preoperative hypercalcemia and postoperative hypocalcemia. PHPT is a differential diagnosis of adolescent hypercalcemia and osteolytic fractures.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4614652PMC
http://dx.doi.org/10.1002/ccr3.360DOI Listing

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