Serial pathologic fractures of five long bones on four separate occasions in a patient with primary hyperparathyroidism, challenges of management in a developing country: a case report.

Autor: Olatoke SA; Division of General Surgery, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin Kwara State, Nigeria., Agodirin OS, Rahman GA, Habeeb OG, Jimoh RO, Ahmed BA, Biliaminu S, Oyedepo OO
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2013 Jun 08; Vol. 15, pp. 45. Date of Electronic Publication: 2013 Jun 08 (Print Publication: 2013).
DOI: 10.11604/pamj.2013.15.45.2501
Abstrakt: Multiple pathologic fractures secondary to parathyroid adenoma is rarely recognized and reported in the tropics. Inadequate evaluation causes worsened disability and increased psychological stress. We present a 27-year-old Nigerian male student with recurrent unexplained pathological fractures of the long bones. Primary Hyperparathyroidism was later diagnosed and he benefited from a unilateral parathyroidectomy. Primary hyperparathyroidism secondary to parathyroid adenoma is difficult to diagnose and needs a high index of suspicion. Surgery and good post-operative biochemical control of serum calcium produce satisfying outcomes.
Databáze: MEDLINE