CASE REPORT
Pathologic fractures in the course of a primary hyperparathyroidism
1
Scientific Society of Students, Medical University, Lublin, Poland
2
Department of Internal Medicine, Medical University, Lublin, Poland
3
Department of Radiology, Medical University, Lublin, Poland
4
Department of Histopathology, Medical University, Lublin, Poland
Corresponding author
Arun Prashar
Department of Internal Medicine, Medical University, Staszica 11, 20-081 Lublin, Poland.
Department of Internal Medicine, Medical University, Staszica 11, 20-081 Lublin, Poland.
J Pre Clin Clin Res. 2012;6(1):64-67
KEYWORDS
ABSTRACT
A 49-year-old patient initially presented to the hospital with fractures seemingly suffered from relatively minor trauma. Imaging and laboratory tests showed abnormalities consistent with dysfunctional mineralization of bone. Computed tomography revealed a mass localized in the inferior parathyroid glands that was removed during a subtotal parathyroidectomy. Follow-up with histopathological studies determined the mass to be a parathyroid adenoma; subsequently, the diagnosis of osteitis fibrosa cystica as a sequela of advanced primary hyperparathyroidism was ascertained. The presented report discusses an extremely severe/advanced case of primary hyperparathyroidism that caused extensive bone demineralization in which several pathologic fractures occurred.
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