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Case Reports
. 2013 Jun 8:15:45.
doi: 10.11604/pamj.2013.15.45.2501. eCollection 2013.

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

Samuel Adegboyega Olatoke  1 , Olayide Sulaiman Agodirin, Ganiyu Adebisi Rahman, Olufemi Gbenga Habeeb, Rabiu Olusegun Jimoh, Bola Abdulkadir Ahmed, Sikiru Biliaminu, Olanrewaju Olubukola Oyedepo
Affiliations
Case Reports

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

Samuel Adegboyega Olatoke et al. Pan Afr Med J. .

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 post-operative biochemical control of serum calcium produce satisfying outcomes.

Keywords: Pathologic fractures; Primary Hyperparathyroidism; parathyroid adenoma; serum calcium; surgery.

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Figures

Figure 1
Figure 1
Physical findings at first contact with general surgeon
Figure 2
Figure 2
Sestamibi parathyroid scintigraphy revealed an increased focal uptake
Figure 3
Figure 3
A) bony changes - salt and pepper appearance of the skull; B) bony changes - osteoporotic changes of the left humerous (with cystic changes on the head); C) bony changes - demineralized right femur (also shows fixed pathologic fracture)
See this image and copyright information in PMC

References

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