Pathological fractures in teen and middle age women with primary hyperparathyroidism

Authors

  • Masliza Hanuni Ali Hospital Sultanah Nur Zahirah, Ministry of Health Malaysia
  • Hani Ajrina Zulkeflee Faculty of Medicine and Health Sciences, University Sains Islam Malaysia, Malaysia
  • Wan Mohd Izani Wan Mohamed Medical Department, Hospital Universiti Sains Malaysia
  • Tuan Salwani Tuan Ismail Chemical Pathology Department, School of Medical Sciences, Universiti Sains Malaysia

DOI:

https://doi.org/10.3329/bjms.v22i1.61854

Keywords:

Primary hyperparathyroidism; pathological fracture;hypercalcaemia; browns tumour

Abstract

Primary hyperparathyroidism (PHPT) is a disease commonly seen in postmenopausal women. We report two cases of pathological fractures following trivial injuries in two different age groups; the middle and teen age group presented as PHPT due to parathyroid adenoma. PHPT usually presents with symptomatic hypercalcemia and target organ damage. Biochemical manifestations in both cases are similar i.e. hypercalcemia, elevated serum intact parathyroid hormone (iPTH), and mass in the parathyroid gland. Histopathological examination is consistent with parathyroid adenoma. We highlighted these two cases due to long delay before the PHPT diagnosisisconfirmedbecause of various investigations commenced in these patients to rule out other diagnoses.

Bangladesh Journal of Medical Science Vol. 22 No. 01 January’23 Page : 234-238

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Published

2023-01-01

How to Cite

Ali, M. H. ., Zulkeflee, H. A., Wan Mohamed, W. M. I. ., & Tuan Ismail, T. S. . (2023). Pathological fractures in teen and middle age women with primary hyperparathyroidism. Bangladesh Journal of Medical Science, 22(1), 234–238. https://doi.org/10.3329/bjms.v22i1.61854

Issue

Section

Case Reports