Hendarto Hari, Pramono Laurentius A, Harbuwono Dante S, Yunir Em, Subekti Imam
Department of Internal Medicine, Faculty of Medicine and Health Science, Syarif Hidayatullah Islamic State University (UIN), Jakarta, Indonesia.
Acta Med Indones. 2017 Jan;49(1):69-73.
A young 18-year-old female patient with general bone pain and history of multiple fractures brought her to our medical attention. Laboratory work showed hypercalcemia and high parathyroid hormone levels in the blood. Radiograph imaging revealed severe scoliosis with multiple vertebrae fractures with decreased bone mineral density. Sestamibi showed parathyroid adenoma. This case emphasizes the importance of maintaining a primary hyperparathyroidism as a differential diagnosis when a young patient presents with a multiple pathologic fractures history.
一名18岁的年轻女性患者，因全身骨痛和多处骨折史前来就医。实验室检查显示血钙过高，血液中甲状旁腺激素水平升高。X线影像显示严重脊柱侧弯，伴有多处椎体骨折，骨密度降低。甲氧基异丁基异腈显像显示甲状旁腺腺瘤。该病例强调了在年轻患者出现多处病理性骨折病史时，将原发性甲状旁腺功能亢进作为鉴别诊断的重要性。
