Putov N V, Ignat'ev A S, Stukkeĭ A L
Vestn Khir Im I I Grek. 1975 May;114(5):30-3.
Under observation were 66 (50.3%) of 130 patients with an ossific form of hyperparathyroidism. Fourty five patients showed the classical picture of Recklinghausen disease, and 21-only diffuse osteoporosis. The correct diagnosis would be established 4-5 years following the onset of the disease. During the period of most distinct manifestations pains in bones were noted in 93 per cent of cases. Two thirds of patients showed marked atonia and fatigue. Pathological fractures were multiple and were observed in 45 of 66 patients (totally 125 fractures). Great importance in establishing the diagnosis of the form of hyperparathroidism is attached to roentgenological investigation of all bones and biochemical assay of blood and urine.
在130例甲状旁腺功能亢进骨化型患者中，66例（50.3%）接受了观察。45例患者表现出典型的瑞克林豪森病症状，21例仅表现为弥漫性骨质疏松。疾病发作4至5年后可确诊。在症状最明显的时期，93%的病例出现骨痛。三分之二的患者表现出明显的肌无力和疲劳。66例患者中有45例（共125处骨折）发生多处病理性骨折。对所有骨骼进行X线检查以及对血液和尿液进行生化检测，对甲状旁腺功能亢进症类型的诊断具有重要意义。
