Unusual presentation in a case of primary hyperparathyroidism

Journal of Research in Medical Sciences

关键词: Primary Hyperparathyroidism;    Osteolysis;    Neoplastic Hypercalcemia;    Bone Scintigraphy;    Bone Secondarisms;    Parathyroid Adenoma;   

DOI  :  

来源: DOAJ

【 摘 要 】

This report describes a case of classic severe primary hyperparathyroidism (PH) with clinical presentation that is very infrequent nowadays, which was osteitis fibrosa cystica. As bone scintigraphy demonstrated multiple areas of increas-ing uptake associated with hypercalcemia, a thorough investigation was conducted to exclude the neoplasms which most frequently are responsible for bone secondarisms. A fludeoxyglucose (FDG) positron emission tomography/CT demonstrated diffuse and multiple foci of increased FDG uptake and a focal uptake at the left thyroid region. Parathy-roid function was studied, revealing unexpectedly high parathyroid hormone (PTH) levels. Further tests confirmed the diagnosis of PH and localized a parathyroid adenoma in the lower left side.

【 授权许可】

Unknown