Delayed diagnosis of primary hyperparathyroidism in a patient with osteoclastoma.
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2011, Vol 13, Issue 5
Abstract
Primary hyperparathyroidism (HPTo) nowadays is most often recognized incidentally in the asymptomatic period as a result of biochemical screening or evaluation of low bone mass. Classical manifestations of the disease are present in about 15-20% of patients. We present the case of a 28-year-old male patient who had been treated for two years for osteoclastoma of the proximal tibia, first by intralesional curettage with cement filling followed by bone grafting, and finally with a reconstructive arthroplasty of the knee joint. The patient had been consulted in different medical centers by at least 14 doctors representing 9 different specialties, but the correct diagnosis of HPTo had not been made, although classic manifestations of the disease had been present for 5-6 years. This suggests that a diagnosis of HPTo is difficult nowadays. Therefore, determination of serum calcium concentration and other markers of calcium and phosphate metabolism should be obligatory in patients with bone lesions.
Authors and Affiliations
Daria Baszko-Błaszyk , Maciej Biczysko , Paweł Gut , Ryszard Waśko , Jerzy Sowiński
Keywords
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