Primary Hypoparathyroidism and recurrent Renal Calculi

Abstract

A 38 years old Thai male with a history of recurrent  left renal caculi  for two times during the past three years was present with left frank pain and dysuria. Urinalysis revealed red blood cells and calcium oxalate crystals. Plain KUB found left renal calculi.  The patient  had shortten  both 4^th  metacarpal  bones  and acrolysis both  distal  phalanges.  Film both  hands  showed   shortten  both  4^th  metacarpal  bones  and resorpted of  distal phalanges  both  hands.  The serum intact parathyroid was low.  He was diagnosed as recurrent left  renal  calculi  and primary  hypoparathyroidism.  An operation was performed to remove renal calculi and the primary  hypoparathyroidism was followed up.