A case of adolescent giant parathyroid adenoma presenting multiple osteolytic fractures and postoperative hungry bone syndrome.
Primary hyperparathyroidism (PHPT) and postoperative hungry bone syndrome are very rare conditions in adolescents, and may be frequently misdiagnosed as a metastatic bone tumor. However, delay in diagnosis may lead to a fatal preoperative hypercalcemia and postoperative hypocalcemia. PHPT is a differential diagnosis of adolescent hypercalcemia and osteolytic fractures.
Department of Orthopaedic Surgery, Osaka University, Graduate School of Medicine 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Kosuke
K
Ebina
Department of Orthopaedic Surgery, Japanese Red Cross Society Himeji Hospital 1-12-1 Shimoteno, Himeji, Hyogo, 670-8540, Japan.
Yuji
Y
Miyoshi
Department of Orthopaedic Surgery, Hoshigaoka Medical Center 4-8-1 Hoshigaoka, Hirakata, Osaka, 573-8511, Japan.
Shinji
S
Izumi
Department of Rheumatology, National Hospital Organization, Osaka Minami Medical Center 2-1 Kidohigashi, Kawachinagano, Osaka, 586-8521, Japan.
Jun
J
Hashimoto
Department of Orthopaedic Surgery, Osaka University, Graduate School of Medicine 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Norifumi
N
Naka
Department of Orthopaedic Surgery, North Osaka Police Hospital 1-2-2 Muroyama, Ibaraki, Osaka, 567-0052, Japan.
Yasunori
Y
Tsukamoto
Department of Orthopaedic Surgery, Osaka University, Graduate School of Medicine 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Masafumi
M
Kashii
Department of Orthopaedic Surgery, Osaka University, Graduate School of Medicine 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Takashi
T
Kaito
Department of Orthopaedic Surgery, Osaka University, Graduate School of Medicine 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Hideki
H
Yoshikawa
Brown tumor; hungry bone syndrome; hyperparathyroidism; parathyroid adenoma; parathyroidectomy