{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T16:27:39Z","timestamp":1743265659321},"reference-count":26,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Endocrinology"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>Primary hyperparathyroidism (PHPT) is a disorder of calcium homeostasis. We report the case of a 17-year-old adolescent male, who presented with an acute psychosis coinciding with severe hypercalcemia and markedly elevated intact parathyroid hormone (iPTH) level and low vitamin D level. A Sestamibi scan showed a positive signal inferior to the left lobe of the thyroid gland. He had only a partial response to the initial medical and psychiatric management. The enlarged parathyroid gland was resected surgically and postoperatively serum calcium and iPTH levels normalized. The histopathology was compatible with a benign adenoma. Patient\u2019s acute psychotic symptoms resolved gradually after surgery; however he remained under psychiatric care for the behavioral issues for about 6 months after surgery. While psychosis is a rare clinical manifestation of hypercalcemia secondary to PHPT in pediatric population, it should be considered as a clinical clue in an otherwise asymptomatic pediatric patient.<\/jats:p>","DOI":"10.1155\/2014\/937631","type":"journal-article","created":{"date-parts":[[2014,3,30]],"date-time":"2014-03-30T21:06:19Z","timestamp":1396213579000},"page":"1-4","source":"Crossref","is-referenced-by-count":6,"title":["A Case of Acute Psychosis in an Adolescent Male"],"prefix":"10.1155","volume":"2014","author":[{"given":"Ghufran","family":"Babar","sequence":"first","affiliation":[{"name":"Section of Pediatric Endocrinology, Children\u2019s Mercy Hospitals and Clinics, 3101 Broadway Boulevard, Kansas City, MO 64111, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramin","family":"Alemzadeh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Endocrinology, University of Illinois College of Medicine at Chicago, 1853 W. 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