Open AccessMultiple bone fractures with a hidden aetiology-A case report
Author(s) -
P. Sankaran Jayalakshmy,
Sreelekshmi K. Thunoli,
Asiq N. Siddeeque
Publication year - 2022
Publication title -
journal of pathology of nepal
Language(s) - English
Resource type - Journals
eISSN - 2091-0797
pISSN - 2091-0908
DOI - 10.3126/jpn.v12i1.30547
Subject(s) - medicine , primary hyperparathyroidism , etiology , parathyroid adenoma , hyperparathyroidism , lesion , brown tumor , osteitis fibrosa cystica , multiple myeloma , pathologic fracture , osteitis , surgery , parathyroid gland , radiology , pathology , parathyroid hormone , secondary hyperparathyroidism , osteomyelitis , calcium
A patient presented with fracture of multiple bones, on investigations, showed primary hyperparathyroidism due to an adenoma in the inferior parathyroid gland. The bones showed typical changes of hyperparathyroidism in the form of osteitis fibrosa. The cause for the bone lesion was not evident initially and the patient had to undergo extensive investigations for myeloma and metastatic deposit, since parathyroid cause was not at all suspected by the clinician. This case indicates that whenever one deals with bone pathology, parathyroid lesions as a cause should also be thought of and appropriate workup should be done for an early diagnosis and treatment.