Primary hyperparathyroidism (PHPT) is not an uncommon disease in the western countries. In Thailand, on the contrary, PHPT was a rare condition with various clinical presentations. All 45 PHPT patients who underwent parathyroidectomy at the Department of Surgery, Siriraj Hospital during January 1997 and December 2007 were retrospectively reviewed. Demographic data, clinical presentation, locali...

AN UNEXPECTED HYPERPARATHYROIDISM AS A CONSEQUENCE OF RADICAL TREATMENT OF PRIMARY HYPERPARATHYROIDISM (Abstract): The possibility of a rebound of the parathyroid hormone (PTH) plasma level after a temporary return to the physiological range following the ablation of a parathyroid adenoma is a well known phenomenon; on the opposite, the pathogenesis until now is not completely clear. This resea...

McCune-Albright syndrome (MAS) is a rare, heterogenous, clinical condition caused by a rare genetic mutation. The disorder is more common in females and is characterized by a triad of cutaneous, bone and endocrine abnormalities.  We describe a girl patient with MAS having precocious puberty and multiple cafe-au-lait macules and deforming polyostotic fibrous dysplasia of bone. Clinical presentat...

To cite: James R, James J, Vij AS, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201994 DESCRIPTION We describe the case of a 30-year-old woman who presented with breathing difficulty and a history of spontaneous fractures. The possibility of primary hyperparathyroidism was kept in mind and the patient was evaluated. The initial laboratory assessment ...

The four parathyroid glands, normally located behind the four poles of the thyroid gland, secrete parathyroid hormone (PTH), which regulates extracellular calcium levels. Hyperparathyroidism, which can be primary, secondary, tertiary or quaternary, results in excess production of PTH. Excessive PTH secretion may be due to hyper-function in the glands themselves, in which case it is referred to ...

The major contributions of Fuller Albright to our understanding of calcium and phosphorus regulation and primary hyperparathyroidism are highlighted. Albright was the first investigator to initiate a systematic study of mineral metabolism. With resources limited to the measurement of serum calcium and phosphorus and the infusion of parathyroid extract, Albright used balance studies to establish...

Background: Myelodysplastic syndrome is a mixed clonal disorder of bone marrow progenitor cells. Understanding the pattern of the different lineage-specific, immature, and mature markers in myelodysplastic syndrome will help in setting-up the frame of reference to diagnose. Patients and Methods: We compared 60 bone marrow samples from 30 newly-diagnosed patients with myelodysplastic syndrome ...

mccune-albright syndrome (mas) is a rare, heterogenous, clinical condition caused by a rare genetic mutation. the disorder is more common in females and is characterized by a triad of cutaneous, bone and endocrine abnormalities.  we describe a girl patient with mas having precocious puberty and multiple cafe-au-lait macules and deforming polyostotic fibrous dysplasia of bone. clinical presentat...

background: myelodysplastic syndrome is a mixed clonal disorder of bone marrow progenitor cells. understanding the pattern of the different lineage-specific, immature, and mature markers in myelodysplastic syndrome will help in setting-up the frame of reference to diagnose. patients and methods: we compared 60 bone marrow samples from 30 newly-diagnosed patients with myelodysplastic syndrome an...