Bilateral Inferior Parathyroid Adenomas in a 70-Year-Old Female with Chronic Fatigue and Hypercalcemia: A Case Report.

Parathyroid adenomas are common causes of primary hyperparathyroidism and present with a wide spectrum of clinical features, including fatigue, generalized weakness, and depression. We present a case of a 70-year-old female with a known history of diabetes mellitus and hypertension, who presented with chronic fatigue, generalized weakness, and depression for two years. Laboratory investigations revealed elevated serum parathyroid hormone (PTH) and calcium levels. Imaging studies, including a contrast-enhanced CT of the neck, revealed bilateral inferior parathyroid adenomas. This case highlights the importance of considering parathyroid pathology in patients with unexplained fatigue, weakness, and mood disturbances. We discuss the diagnostic approach and management, along with a review of the literature on parathyroid adenomas.