Title of article
Unusual presentation in a case of primary hyperparathyroidism
Author/Authors
Baldini, Marina Medicina Interna 1 A - Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano, Italy , Airaghi, Lorena Medicina Interna 1 A - Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano, Italy , Pisano, Giuseppina Medicina Interna 1 A - Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano, Italy , Pulixi, Edoardo Medicina Interna 1 A - Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano, Italy , Benti, Riccardo Medicina Interna 1 A - Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano, Italy
Pages
4
From page
1078
To page
1081
Abstract
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 increasing
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. Parathyroid
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
Keywords
Bone Secondarisms , Osteolysis , Neoplastic Hypercalcemia , Bone Scintigraphy , Parathyroid Adenoma
Journal title
Astroparticle Physics
Serial Year
2011
Record number
2445959
Link To Document