Abstract
Prolonged hypocalcemia following parathyroidectomy, called hungry bone syndrome, is a common complication of parathyroid surgery seen in 13-30% of cases. In this article, we report the case of a 48-year-old woman with bone pain and multiple brown tumors as the first manifestation of primary hyperparathyroidism due to a large parathyroid adenoma. After parathyroidectomy, the patient presented clinical signs of hypocalcemia consistent with hungry bone syndrome. Scintigraphic and radiographic modifications following parathyroidectomy are described.
Copyright 2009 Elsevier España, S.L. y SEMNIM. All rights reserved.
MeSH terms
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Adenoma / complications
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Adenoma / surgery*
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Female
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Femur / diagnostic imaging
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Femur / pathology
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Humans
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Hyperparathyroidism / complications
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Hypocalcemia / diagnostic imaging*
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Hypocalcemia / etiology
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Hypophosphatemia / diagnostic imaging*
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Hypophosphatemia / etiology
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Metacarpal Bones / diagnostic imaging
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Metacarpal Bones / pathology
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Middle Aged
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Organophosphorus Compounds
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Organotechnetium Compounds
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Osteitis Fibrosa Cystica / diagnostic imaging*
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Osteitis Fibrosa Cystica / etiology
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Osteitis Fibrosa Cystica / pathology
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Parathyroid Neoplasms / complications
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Parathyroid Neoplasms / surgery*
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Parathyroidectomy / adverse effects*
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Radionuclide Imaging
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Radiopharmaceuticals
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Technetium Tc 99m Medronate
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Tibia / diagnostic imaging
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Tibia / pathology
Substances
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Organophosphorus Compounds
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Organotechnetium Compounds
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Radiopharmaceuticals
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technetium tc-99m tetrofosmin
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Technetium Tc 99m Medronate