Acute kidney injury, necrotizing pancreatitis and nephrocalcinosis: A rare presentation of primary hyperparathyroidism

Primary hyperparathyroidism is a common hormonal disorder presenting with hypercalcemia and non-suppressed or high parathyroid hormone (PTH) levels. This is due to a solitary adenoma in 80-85% of cases.1 Parathyroid adenomas are most common in patients aged 50- 70 years, and women are three times more likely to be affected.1 Hyperparathyroidism can lead to high levels of calcium, causing non-specific symptoms to life-threatening complications. Sequelae such as acute kidney injury (AKI) and pancreatitis can also occur, with the latter being seen in <1.5% of patients.