Primary Hyperparathyroidism Presenting as a Proximal Myopathy

Abstract
A 46 yr old female presented with a 3 yr history of progressive weakness. Asymptomatic apart from proximal myopathy, multi channel screening and radiological features indicated primary hyperparathyroidism with severe metabolic bone disease. Removal of a parathryoid adenoma led to improvement of muscle strength and regression of bony and metabolic changes.

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