Parathyroid Adenoma Presenting with Severe Skeletal Deformities

Parathyroid adenoma (PA) is the most common cause of primary hyperparathyroidism.Parathyroid hyperplasia and cancer are rare, accounting for less than 1% of cases1.PA is typically identified via ultrasonography.We present a case of a 17-year-old female with severe skeletal deformities and extensive osteolytic lesions.She underwent parathyroid adenoma excision and subsequently developed hungry bone syndrome, requiring calcium and vitamin D supplementation.Isolated skeletal abnormalities as the primary manifestation of parathyroid adenoma are rare.