oa Central African Journal of Medicine - Primary hyperparathyroidism with metabolic bone disease

Volume 2, Issue 4
  • ISSN : 0008-9176



A case of hyperparathyroidism with metabolic bone disease, due to a single parathyroid adenoma, is presented. The salient features of the condition, namely, generalised bone pains, anorexia, polyuria and polydipsia, loss of strength and weight and a sense of dryness of mouth and throat, are discussed. Renal colic may be a presenting feature. The characteristic findings are generalised decalcification with the formation of ""cysts,"" hypochromic anaemia, an elevated serum calcium, a low plasma phosphorus and a high alkaline phosphatase (in the presence of metabolic bone disease). Hypercalciuria is almost always present, and the value of the simple Sulkowitch test to demonstrate this as a screening method is stressed.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error