Unusual pathological fracture of the clavicle revealing primary hyperparathyroidism: a case report
Abstract Background Primary hyperparathyroidism revealed by a pathological fracture is very uncommon; in the majority of cases the discovery of lytic bone lesions on imaging examinations evokes in the clinician first a neoplastic etiology and a metabolic origin is often omitted. This case report add...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13256-017-1509-7 |
| _version_ | 1818935682825977856 |
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| author | Yassir Benameur Hasnae Guerrouj Imad Ghfir Nouzha Ben Rais Aouad |
| author_facet | Yassir Benameur Hasnae Guerrouj Imad Ghfir Nouzha Ben Rais Aouad |
| author_sort | Yassir Benameur |
| collection | DOAJ |
| description | Abstract Background Primary hyperparathyroidism revealed by a pathological fracture is very uncommon; in the majority of cases the discovery of lytic bone lesions on imaging examinations evokes in the clinician first a neoplastic etiology and a metabolic origin is often omitted. This case report adds to the existing literature as it describes an unusual presentation of primary hyperparathyroidism. Case presentation We report a case of a 50-year-old Moroccan man, without any known tumor, who presented a fracture of his left clavicle with multiple osteolytic lesions on computed tomography suggesting bone metastases. However, bone scintigraphy oriented the diagnosis to a metabolic pathology by showing a metabolic bone “super scan” with increased tracer uptake in the left clavicle; parathyroid scintigraphy was able to localize pathological right parathyroid tissue. Conclusions Whenever multiple osteolytic lesions are found in a patient without any known tumor, metabolic bone diseases including hyperparathyroidism should be highly considered. |
| first_indexed | 2024-12-20T05:24:03Z |
| format | Article |
| id | doaj.art-910b14ab9d7f4f9c8285c2faa563e14f |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-20T05:24:03Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-910b14ab9d7f4f9c8285c2faa563e14f2022-12-21T19:51:56ZengBMCJournal of Medical Case Reports1752-19472017-12-011111410.1186/s13256-017-1509-7Unusual pathological fracture of the clavicle revealing primary hyperparathyroidism: a case reportYassir Benameur0Hasnae Guerrouj1Imad Ghfir2Nouzha Ben Rais Aouad3Department of Nuclear Medicine, Ibn Sina Hospital, Mohammed V UniversityDepartment of Nuclear Medicine, Ibn Sina Hospital, Mohammed V UniversityDepartment of Nuclear Medicine, Ibn Sina Hospital, Mohammed V UniversityDepartment of Nuclear Medicine, Ibn Sina Hospital, Mohammed V UniversityAbstract Background Primary hyperparathyroidism revealed by a pathological fracture is very uncommon; in the majority of cases the discovery of lytic bone lesions on imaging examinations evokes in the clinician first a neoplastic etiology and a metabolic origin is often omitted. This case report adds to the existing literature as it describes an unusual presentation of primary hyperparathyroidism. Case presentation We report a case of a 50-year-old Moroccan man, without any known tumor, who presented a fracture of his left clavicle with multiple osteolytic lesions on computed tomography suggesting bone metastases. However, bone scintigraphy oriented the diagnosis to a metabolic pathology by showing a metabolic bone “super scan” with increased tracer uptake in the left clavicle; parathyroid scintigraphy was able to localize pathological right parathyroid tissue. Conclusions Whenever multiple osteolytic lesions are found in a patient without any known tumor, metabolic bone diseases including hyperparathyroidism should be highly considered.http://link.springer.com/article/10.1186/s13256-017-1509-7Primary hyperparathyroidismBone scintigraphyParathyroid scintigraphyPathological fractureOsteolytic bone metastases |
| spellingShingle | Yassir Benameur Hasnae Guerrouj Imad Ghfir Nouzha Ben Rais Aouad Unusual pathological fracture of the clavicle revealing primary hyperparathyroidism: a case report Journal of Medical Case Reports Primary hyperparathyroidism Bone scintigraphy Parathyroid scintigraphy Pathological fracture Osteolytic bone metastases |
| title | Unusual pathological fracture of the clavicle revealing primary hyperparathyroidism: a case report |
| title_full | Unusual pathological fracture of the clavicle revealing primary hyperparathyroidism: a case report |
| title_fullStr | Unusual pathological fracture of the clavicle revealing primary hyperparathyroidism: a case report |
| title_full_unstemmed | Unusual pathological fracture of the clavicle revealing primary hyperparathyroidism: a case report |
| title_short | Unusual pathological fracture of the clavicle revealing primary hyperparathyroidism: a case report |
| title_sort | unusual pathological fracture of the clavicle revealing primary hyperparathyroidism a case report |
| topic | Primary hyperparathyroidism Bone scintigraphy Parathyroid scintigraphy Pathological fracture Osteolytic bone metastases |
| url | http://link.springer.com/article/10.1186/s13256-017-1509-7 |
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