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Published:
Jan 22, 2014Keywords:
Pathologic fractures parathyroid adenoma Primary Hyperparathyroidism serum calcium surgery
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Serial pathologic fractures of five long bones on four separate occasions in a patient with primary hyperparathyroidism, challenges of management in a developing country: a case report
Abstract
Multiple pathologic fractures secondary to parathyroid adenoma is rarely recognized and reported in the tropics. Inadequate evaluation causes worsened disability and increased psychological stress. We present a 27-year-old Nigerian male student with recurrent unexplained pathological fractures of the long bones. Primary Hyperparathyroidism was later diagnosed and he benefited from a unilateral parathyroidectomy. Primary hyperparathyroidism secondary to parathyroid adenoma is difficult to diagnose and needs a high index of suspicion. Surgery and good postoperative biochemical control of serum calcium produce satisfying outcomes
Key words: Pathologic fractures, parathyroid adenoma, Primary Hyperparathyroidism, serum calcium, surgery
