Tibial brown tumor as a presentation of primary hyperparathyroidism

Authors

  • Dario Alvaro Rueda Hospital de Clinicas José de San Mertín- UBA
  • Bárbara Andrea Nazionale Hospital de Clínicas José de San Martín-UBA
  • Ana Maria Espinal Jimenez Hospital de Clínicas José de San Martín-UBA
  • Diego Alberto Carrozza Hospital de Clínicas José de San Martín- UBA
  • Paola Finocchietto Hospital de Clínicas José de San Martín-UBA
  • Horacio di Fonzo Hospital de Clínicas José de San Martín-UBA

DOI:

https://doi.org/10.31053/1853.0605.v78.n2.30679

Keywords:

hyperparathyroidism primary, osteitis fibrosa cystica/complications, diagnosis differential

Abstract

Cystic fibrous osteitis is a complication of a very evolved hyperparathyroidism. Because the determination of calcium, parathyroid hormone and vitamin D have become routine studies, this bone complication is uncommon in western countries. However, it should be considered in the differential diagnosis of hypercalcemia and lytic bone lesions. The treatment is to suppress the excess parathyroid hormone by parathyroidectomy and osteosynthesis in pathological fracture. We present the case of a female patient with primary hyperparathyroidism and a brown tumor in the right tibia.

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Author Biographies

Bárbara Andrea Nazionale, Hospital de Clínicas José de San Martín-UBA

Residente de cuarto año de Medicina Interna

Ana Maria Espinal Jimenez, Hospital de Clínicas José de San Martín-UBA

Residente de segundo año de Medicina Interna

 

Diego Alberto Carrozza, Hospital de Clínicas José de San Martín- UBA

Especialista en Medicina Interna

Jefe de Internacion de la Primera Cátedra de Medicina Interna

Docente Adscripto de Medicina Interna.  UBA.

Paola Finocchietto, Hospital de Clínicas José de San Martín-UBA

Especialista en Medicina Interna y Diabetología

Medico de Staff  de la Primera Catedra de Medicina

Docente Adscripto de Medicina Interna. UBA

Horacio di Fonzo, Hospital de Clínicas José de San Martín-UBA

Especialista en Medicina Interna

Profesor Adjunto a cargo de la Primera Cátedra de Medicina Interna

Profesor Regular Adjunto de Medicina. UBA.

References

Minisola S, Gianotti L, Bhadada S, Silverberg SJ. Classical complications of primary hyperparathyroidism. Best Pract Res Clin Endocrinol Metab. 2018 Dec;32(6):791-803. doi: 10.1016/j.beem.2018.09.001.

Misiorowski W, Czajka-Oraniec I, Kochman M, Zgliczyński W, Bilezikian JP. Osteitis fibrosa cystica-a forgotten radiological feature of primary hyperparathyroidism. Endocrine. 2017 Nov;58(2):380-385. doi: 10.1007/s12020-017-1414-2.

Jervis L, James M, Howe W, Richards S. Osteolytic lesions: osteitis fibrosa cystica in the setting of severe primary hyperparathyroidism. BMJ Case Rep. 2017 May 28;2017:bcr2017220603. doi: 10.1136/bcr-2017-220603.

Published

2021-06-28

How to Cite

1.
Rueda DA, Nazionale BA, Espinal Jimenez AM, Carrozza DA, Finocchietto P, di Fonzo H. Tibial brown tumor as a presentation of primary hyperparathyroidism. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2021 Jun. 28 [cited 2024 Jul. 6];78(2):207-9. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/30679

Issue

Section

Images in Medicine and Biology