Case study reveals hyperparathyroidism and hypercalcemia linked to atypical slipped capital femoral epiphysis, indicating need for metabolic evaluation.
Case: We report a 15-year-old boy with primary hyperparathyroidism and hypercalcemia, caused by a parathyroid adenoma, identified during evaluation for slipped capital femoral epiphyses (SCFEs). Atypical SCFE presentation, including late pubertal presentation, nephrolithiasis, and normal BMI, prompted metabolic investigation. Hypercalcemia was managed with fluids, calcitonin, pamidronate, and cinacalcet, followed by parathyroidectomy and SCFE surgery, leading to normalized calcium levels. Conclusion: This case highlights the importance of metabolic evaluation in SCFE patients with an atypical presentation as addressing endocrine abnormalities can optimize outcomes and prevent complications.
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Geoffroy et al. (2025) studied this question.
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