parathyroid adenoma

Primary hyperparathyroidism is an important yet often overlooked cause of the chronic musculoskeletal pain. A delay in diagnosis may result in significant skeletal complications. We report a case of longstanding neglected back pain that ultimately led to the diagnosis of parathyroid adenoma. This case highlights the importance of considering metabolic causes in patients with persistent musculoskeletal symptoms and early evaluation to prevent irreversible complications.