Skeletal Survey of Primary Hyperparathyroidism

Parathyroid hormone plays a key role in maintaining calcium homeostasis in the human body. Excess production of parathyroid hormone results in hyperparathyroidism which can be further classified as primary, secondary and tertiary depending on its aetiology. Although biochemical estimation of serum calcium, phosphate and parathyroid hormone provides definitive diagnosis of hyperparathyroidism, modalities like conventional radiography, ultrasound, CT and MRI helps in localisation and better assessment of disease severity. We review a case of 28 year old female with a history of muscle weakness, anorexia with pain in hip joint and legs. Subsequent radiographic and biochemical findings were consistent with primary hyperparathyroidism.