Neonatal primary hyperparathyroidism

Primary hyperparathyroidism in neonate is extremely rare and fatal. it can also result in several sequelae if not promptly recognized and surgically corrected as soon as possible in early life. it is usually presented with symptoms of chronic hypercalcemia,such as irritability,hypotonia,constipation,poor feeding and respiratory distress with some sorts of hypercalcemic crisis . they often develop polyuria and dehydration associated with failure to thrive.