Abstract
We present two children with bilateral knock-knee. Both of them had hypercalcemia, hypophosphatemia, raised alkaline phosphatase and parathormone, normal renal function, and deficient serum vitamin D levels. Sestamibi scintigraphy showed a parathyroid adenoma in both children, which was removed surgically with improvement. Primary hyperparathyroidism should be a differential diagnosis for bilateral genu valgum.
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