Pathologic fractures in the course of a primary hyperparathyroidism
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Scientific Society of Students, Medical University, Lublin, Poland
Department of Internal Medicine, Medical University, Lublin, Poland
Department of Radiology, Medical University, Lublin, Poland
Department of Histopathology, Medical University, Lublin, Poland
Arun Prashar   

Department of Internal Medicine, Medical University, Staszica 11, 20-081 Lublin, Poland.
J Pre Clin Clin Res. 2012;6(1):64–67
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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