Thieme V
Zahn Mund Kieferheilkd Zentralbl. 1979;67(4):392-403.
After a brief review of the pathophysiological relationships determined for primary hyperparathyroidism, osteal manifestations of this condition are discussed. The importance of a histological demonstration of pathognomonic dissecting fibro-osteoclasia in iliac crest biopsy and in the marginal region of so-called brown tumors is pointed out in connection with results obtained by diagnosis in general and differential diagnosis in particular. The occurrence in the maxillofacial region of Recklinghausen's generalized fibrous osteodystrophy is described with reference to a particular case history, and the diagnostic value of clinical and roentgenological, laboratory-diagnosis and histological criteria is determined.
在简要回顾了原发性甲状旁腺功能亢进所确定的病理生理关系后,讨论了该病症的骨表现。结合一般诊断尤其是鉴别诊断所获得的结果,指出了在髂嵴活检以及所谓棕色瘤边缘区域进行具有诊断特征的解剖性纤维性骨炎组织学证明的重要性。参照一个具体病例史描述了颌面部区域里氏全身性纤维性骨营养不良的发生情况,并确定了临床、放射学、实验室诊断及组织学标准的诊断价值。