23rd May 2025

A 55-year-old male has recently sought asylum in the UK from Syria.

A 55-year-old male has recently sought asylum in the UK from Syria. He is unsure of his past medical history or the medication he takes. He has been complaining of long-standing pain in his left forearm. His blood tests show a raised parathyroid hormone, hypercalcaemia and normal renal function with an eGFR of 90 ml/min. 

An x-ray shows the following:

What is the most likely underlying diagnosis in this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.