K�r�klarla gelen atlanm�� primer hiperparatiroidi olgusu:  Olgu Sunumu

Bostan, Bora; Erdem, Mehmet; G�ne�, Taner; �en, Cengiz; K�seo�lu, Re�it Do�an

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K�r�klarla gelen atlanm�� primer hiperparatiroidi olgusu: Olgu Sunumu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2010; 16(6): 567-570

K�r�klarla gelen atlanm�� primer hiperparatiroidi olgusu: Olgu Sunumu

Bora Bostan¹, Mehmet Erdem¹, Taner G�ne�¹, Cengiz �en¹, Re�it Do�an K�seo�lu²
¹Gaziosmanpa�a �niversitesi T�p Fak�ltesi Ortopedi Ve Travmatoloji Ana Bilim Dal�,Tokat
²Gaziosmanpa�a �niversitesi T�p Fak�ltesi Patoloji Ana Bilim Dal�, Tokat

Bu yaz�da, primer hiperparatiroidden kaynaklanan �oklu kistik lezyonlar ve kistik lezyonlar seviyesindeki patolojik femur ve kar�� tibia k�r�klar� olan gen� kad�n hasta bildirilmektedir. Hastan�n hikayesinde dispepsi, i�tah kayb�, miyalji, artralji, yorgunluk ve kilo kayb� gibi m�phem bulgulardan dolay� 6 y�l �nce hastaneye ba�vurma hikayesi vard�, fakat herhangi bir hastal�k saptanmam��t�. Zamanla i�tahs�zl�k ve zay�flamas�n�n devam etti�i, son 1 y�ld�r sadece yard�mla y�r�yebildi�i ��renildi. Fakat bizim incelememize kadar hastada primer hiperparatiroidi atlanm�� idi. K�r�klar�n, biyopsi ile osteitis fibroza sistikadan kaynakland�� teyit edildikten sonra intramed�ller �ivileme ve primer greftleme ile tedavi edildi. K�r�klar sorunsuz bir �ekilde kaynad�. Sonu� olarak, bu t�r m�phem �ikayetleri olan hastalar�n biyokimyasal ve radyolojik y�ntemlerle taranmas� ve hastal��n atlanmamas� olduk�a �nemlidir.

Anahtar Kelimeler: K�r�k, osteitis fibroza sistika; primer hiperparatiroidizm.

Overlooked primary hyperparathyroidism presented with fractures: case report

Bora Bostan¹, Mehmet Erdem¹, Taner G�ne�¹, Cengiz �en¹, Re�it Do�an K�seo�lu²
¹Gaziosmanpasa University School Of Medicine, Department Orthopaedics and Traumatology, Tokat
²Gaziosmanpasa University School Of Medicine, Department of Pathology, Tokat

In the present paper, we report a female patient with multiple cystic lesions of bone arising from the primary hyperparathyroidism and pathological femur and contralateral tibia fractures at the level of these cystic lesions (osteitis fibrosa cystica). The patient�s history revealed that she was admitted to a medical center with vague symptoms such as sudden onset of dyspepsia, loss of appetite, myalgia, arthralgia, fatigue, and weight loss six years ago but no disease was diagnosed. Loss of appetite and loss of weight continued. She had been walking only by assisted ambulation for the last year. However, primary hyperparathyroidism was overlooked until our examination. The fractures were managed by interlocking nailing and grafting after confirming with biopsy that the fractures were due to osteitis fibrosa cystica. The fractures healed uneventfully. In conclusion, it is essential to evaluate patients with these vague symptoms with full biochemical screening and radiological examination for the early detection of the disease.

Keywords: Fracture, osteitis fibrosa cystica; primary hyperparathyroidism.

Bora Bostan, Mehmet Erdem, Taner G�ne�, Cengiz �en, Re�it Do�an K�seo�lu. Overlooked primary hyperparathyroidism presented with fractures: case report. Ulus Travma Acil Cerrahi Derg. 2010; 16(6): 567-570

Sorumlu Yazar: Bora Bostan, T�rkiye
Makale Dili: T�rk�e

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