Hyperthyroidism Presenting With Pathologic Fractures.
نویسندگان
چکیده
Previous studies have shown that thyroid hormone directly stimulates bone resorption in in vitro organ culture, and in adults excess thyroid hormone is associated with decreased bone mineral density. There are limited data in children regarding the effect of hyperthyroidism on bone metabolism and even fewer instances in the literature of hyperthyroidism presenting with bone demineralization and fracture. We report a case of an 11-year-old boy with undiagnosed hyperthyroidism presenting with fractures and osteoporosis. This case emphasizes the importance of maintaining a broad differential diagnosis when a patient presents with a pathologic fracture.
منابع مشابه
Hip Fracture in a Patient with Primary Hyperparathyroidism: Medical and Surgical Lessons
Hyperparathyroidism is a condition which can be primary, secondary or tertiary and is characterized by increased calcium levels, low phosphate levels, and elevated parathyroid hormone (PTH) levels. Primary hyperthyroidism can cause severe bone resorption leading to bone pains and pathological fracture. We present the case of a patient with severe primary hyperparathyroidism with an atraumatic f...
متن کاملRetrosternal goitre with subclinical hyperthyroidism presenting with trochanteric fracture.
We report a 55-year-old female who presented with trochanteric fracture of right femur. Examination and investigation revealed a huge retrosternal goiter with compression of great vessels which was asymptomatic for more than two decades. Subsequent investigation confirmed it as a case of toxic multinodular goitre with subclinical hyperthyroidism which is the possible cause of secondary osteopor...
متن کاملANEURYSMAL BONE CYST ASSOCIATED WITH A PATHOLOGIC FRACTURE OF THE MANDIBLE: A CASE REPORT AND LITERATURE REVIEW
Pathologic fractures of the jaw are usually associated with aggressive, destructive lesions or malignant lesions of the jaws. Aneurysmal bone cysts (ABC) of the jaws are benign lesions which normally do not cause destruction to such an extent. This article reports a relatively aggressive ABC of the mandible in a 19 year-old male which destroyed the buccal and lingual cortices as well as th...
متن کاملThe Prevalence of Fragility Fractures in a Population of a Region of Southern Italy Affected by Thyroid Disorders
In the literature there is no clear evidence of a relationship between thyropathies and fragility fractures. The aim of our study is to define the prevalence of thyroid disease in a study sample made up of subjects with fragility fractures and from the same geographical area. We retrospectively studied the "hospital discharge records" (HDR) in the Apulian Database for the period 2008-2013 in or...
متن کاملFemoral Osteomyelitis Presenting as a Pathologic Fracture in a 53 Year Old Male: A Rare Case Report
Introduction Hematogenous osteomyelitis of long bones in immunocompetent adults is extremely rare and uncommonly presents as a pathological fracture. Case Report A 53-year-old Caucasian male presented with an atraumatic mid-shaft femur fracture secondary to hematogenous osteomyelitis. The organism was found to be Streptococcus anginosus. The patient required multiple surgical debridements and...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Pediatrics
دوره 137 2 شماره
صفحات -
تاریخ انتشار 2016