Abstract：
:Primary hyperparathyroidism is common, particularly in postmenopausal women. Since the introduction of routine automated serum calcium assays and the development of assays for intact 1-84 parathyroid hormone, the diagnosis is usually made fortuitously in asymptomatic patients or during evaluation for osteoporosis. As a result, many physicians have no experience with the clinical manifestations. Here, we describe the case of a 70-year-old man with bone pain, multiple brown tumors, and severe hypercalcemia (4 mmol/L). The diagnostic pitfalls raised by these symptoms are illustrated.
journal_name
Joint Bone Spinejournal_title
Joint bone spineauthors
Jouan A,Zabraniecki L,Vincent V,Poix E,Fournié Bdoi
10.1016/j.jbspin.2007.03.004subject
Has Abstractpub_date
2008-03-01 00:00:00pages
209-11issue
2eissn
1297-319Xissn
1778-7254pii
S1297-319X(07)00279-5journal_volume
75pub_type
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