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Abstract
A severe case of generalized osteitis fibrosa cystica due to parathyroid adenoma is
reported, the tumor being located in the superior mediastinum. The case is remarkable
in that the patient's symptoms date back over a period of nearly sixteen years during
which time she suffered no less than four fractures and one operation for kidney stones.
The skeletal involvement was extensive and included both patellas, a site which has
not been previously reported. Her postoperative convalescence was marked by a fracture
of the right femur, suggesting that in the postoperative care of these patients precautionary
splinting might be applied to bones of the extremities which are extensively involved
until some degree of recalcification has occurred.
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References
- Parathyroids—physiology and therapeutics.J. A. M. A. 1941; 117: 527-533
- Hyperparathyroidism; common and polymorphic condition as illustrated by seventeen proved cases from one clinic.J. A. M. A. 1934; 102: 1276-1287
- Pathology of parathyroid gland in hyperparathyroidism; study of 25 cases.Am. J. Path. 1935; 11: 1-72
- Surgical treatment of hyperparathyroidism, based on 30 cases confirmed by operation.Ann. Surg. 1936; 104: 9-35
- Osteitis fibrosa cystica generalizata with hyperparathyroidism as etiology.Am. J. Roentgenol. 1931; 25: 739-748
- Hyperparathyroidism.Brit. M. J. 1937; 1: 982-984
- The development of parathyroidectomy during the last fifteen years.J. Internat. Coll. Surg. 1940; 3: 297-311
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© 1944 Published by Elsevier Inc.
