Abstract
Article describes a clinical case of a female adolescent with macrohematuria, nephrocalcinosis, nephrolithiasis and cholelithiasis, in which laboratory examination and imaging of parathyroid glands gave grounds to diagnose primary hyperparathyroidism due to parathyroid adenoma. Diagnosis was based on laboratory examination and later confirmed by instrumental methods: when hypercalcemia was detected, the necessary determination of parathyroid hormone level took place and when it increased, a mandatory biochemical analysis of urine was performed as well as required. Despite the rarity of primary hyperparathyroidism in childhood, alertness in relation to this pathology is necessary for pediatric practitioners of various specialties, including pediatric physicians and nephrologists, since this pathology is more likely in cases of nephrocalcinosis, nephrolithiasis and urolithiasis in children.
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