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原发性甲状旁腺功能亢进症的一种不寻常表现：病理性骨折。

An unusual presentation of primary hyperparathyroidism: pathological fracture.

作者信息

Khaoula Ben Abdelghani, Kaouther Ben Abdelghani, Ines Chelly, Sami Turki, Zakraoui Leith, Khedher Adel

机构信息

Department of Internal Medicine, Charles Nicolle Hospital, University of Tunis El Manar, Tunis 1068, Tunisia.

出版信息

Case Rep Orthop. 2011;2011:521578. doi: 10.1155/2011/521578. Epub 2012 Jan 26.

DOI:10.1155/2011/521578
PMID:23198216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3505895/
Abstract

Primary hyperparathyroidism revealed by a pathological fracture is very uncommon. We present a case of a 54-year-old female patient who was admitted with fracture of her right femur. She underwent closed intramedullary reconstruction nailing with bipolar locking. The pathological findings confirmed the diagnosis of primary hyperparathyroidism with brown tumor. Further tests showed increased both calcium level and PTH level. A parathyroidectomy was performed. She made an uneventful recovery and was discharged to home.

摘要

因病理性骨折而发现的原发性甲状旁腺功能亢进非常罕见。我们报告一例54岁女性患者，因右股骨骨折入院。她接受了双极锁定闭合髓内重建钉固定术。病理检查结果证实为原发性甲状旁腺功能亢进伴棕色瘤。进一步检查显示血钙水平和甲状旁腺激素水平均升高。患者接受了甲状旁腺切除术。她恢复顺利，已出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/a1123a1d4910/CRIM.ORTHOPEDICS2011-521578.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/d06261250de9/CRIM.ORTHOPEDICS2011-521578.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/32e7c4f8645c/CRIM.ORTHOPEDICS2011-521578.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/9e3c69ec411c/CRIM.ORTHOPEDICS2011-521578.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/a1123a1d4910/CRIM.ORTHOPEDICS2011-521578.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/d06261250de9/CRIM.ORTHOPEDICS2011-521578.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/32e7c4f8645c/CRIM.ORTHOPEDICS2011-521578.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/9e3c69ec411c/CRIM.ORTHOPEDICS2011-521578.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0c/3505895/a1123a1d4910/CRIM.ORTHOPEDICS2011-521578.004.jpg

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