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Aim: To study the possible clinical masks of primary hyperparathyroidism encountered in the practice of the surgeon. Materials and methods: From our clinical practice, we selected 2 of the most striking clinical cases of primary hyperparathyroidism with bone form. Both patients were not immediately referred to an endocrine surgeon and suffered a large number of complications and falsely necessary surgical interventions. Results. As a result of the analysis of the clinical cases described in the article, we see that the poor awareness of doctors about the possible clinical manifestations of primary hyperparathyroidism leads to a false diagnosis and many unjustified medical manipulations. As a result, when the diagnosis was made, the patients underwent parathyroid adenoma removal with a positive clinical effect. Conclusions: Thus, surgical treatment of hyperparathyroidism is effective, but the most rational is the naturally specific visualization of the glands using scintigraphy. In some cases, standard research methods need to be supplemented with genetic analysis, for the differentiated diagnosis of hereditary and acquired forms of hyperparathyroidism. Key words: hyperparathyroidism, diagnosis, treatment. |
