Asymptomatic and Recurrent Hyperparathyroidism
نویسنده
چکیده
Symptomatic Disease Bone disease in its florid form, osteitis fibrosa cystica generalizata, is now rarely seen. In 1947 Norris (1) found an incidence of this condition of 91% in those with a parathyroid adenoma. The earliest changes can be detected by X-rays of the hands where subperiosteal erosions can be detected in the phalanges (especially radial aspect of the middle phalanges) and terminal tufts. The skull demonstrates a mottled appearance with lucent cystic areas ('pepper pot skull' in its most florid form) and any bone may demonstrate cystic lesions due to osteoclastomas or brown tumours. These lesions produce skeletal pain and may lead to pathological fractures. Subtle bone changes are rarely detected on skeletal survey and there is little justification for radiology to aid diagnosis unless there
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