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題 名 | Parathyroid Gland Hyperplasia Manifesting as Hyperglycemia and Multiple Pathological Fractures of Brown Tumors in a Young Man=以高血糖和棕色瘤導致全身多處病理性骨折表現的副甲狀腺增生 |
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作 者 | 莊富凱; 郭俊麟; 劉哲瑋; 蔡宗穎; 李建和; | 書刊名 | Journal of Medical Sciences |
卷 期 | 31:3 2011.06[民100.06] |
頁 次 | 頁121-124 |
分類號 | 416.26 |
關鍵詞 | 高血糖; 棕色瘤; 病理性骨折; 副甲狀腺增生; Pathologic fracture; Hyperparathyroidism; Brown tumor; Parathyroidectomy; |
語 文 | 英文(English) |
英文摘要 | Pathologic causes of fractures compromised bone include neoplasms, infections, and certain inherited bone disorders. We described a 33-year-old man who complained of a painful mass over left lower limb for two months without any history of trauma. He had also suffered from nephrolithiasis several times over ten more years. This was a manifestation of parathyroid gland hyperplasia with multiple brown tumors and pathologic fracture. He underwent the operation of total para-thyroidectomy plus open reduction and internal fixation with an interlocking nail for pathologic fracture of the tibial shaft. After six months, tibial fracture union was found from clinical and radiological evaluation. Besides, his blood sugar level returned to normal with oral medication, and multiple brown tumors over the whole body were resolved partially. This case illustrates the importance of finding out the primary lesion through some examinations and relevant investigations, with an emphasis on adequate management. |
本系統中英文摘要資訊取自各篇刊載內容。