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Clin Case Rep. 2015 Oct;3(10):835-40. doi: 10.1002/ccr3.360. Epub 2015 Sep 02.

A case of adolescent giant parathyroid adenoma presenting multiple osteolytic fractures and postoperative hungry bone syndrome.

Clinical case reports

Kosuke Ebina, Yuji Miyoshi, Shinji Izumi, Jun Hashimoto, Norifumi Naka, Yasunori Tsukamoto, Masafumi Kashii, Takashi Kaito, Hideki Yoshikawa

Affiliations

  1. Department of Orthopaedic Surgery, Osaka University, Graduate School of Medicine 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
  2. Department of Orthopaedic Surgery, Japanese Red Cross Society Himeji Hospital 1-12-1 Shimoteno, Himeji, Hyogo, 670-8540, Japan.
  3. Department of Orthopaedic Surgery, Hoshigaoka Medical Center 4-8-1 Hoshigaoka, Hirakata, Osaka, 573-8511, Japan.
  4. Department of Rheumatology, National Hospital Organization, Osaka Minami Medical Center 2-1 Kidohigashi, Kawachinagano, Osaka, 586-8521, Japan.
  5. Department of Orthopaedic Surgery, North Osaka Police Hospital 1-2-2 Muroyama, Ibaraki, Osaka, 567-0052, Japan.

PMID: 26509019 PMCID: PMC4614652 DOI: 10.1002/ccr3.360

Abstract

Primary hyperparathyroidism (PHPT) and postoperative hungry bone syndrome are very rare conditions in adolescents, and may be frequently misdiagnosed as a metastatic bone tumor. However, delay in diagnosis may lead to a fatal preoperative hypercalcemia and postoperative hypocalcemia. PHPT is a differential diagnosis of adolescent hypercalcemia and osteolytic fractures.

Keywords: Brown tumor; hungry bone syndrome; hyperparathyroidism; parathyroid adenoma; parathyroidectomy

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