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CC BY-NC-ND 4.0 · World J Nucl Med 2020; 19(02): 149-151
DOI: 10.4103/wjnm.WJNM_69_19
Case Report

An unusual case of hyperparathyroidism, presenting as multiple skeletal lesions

Nitin Gupta
Department of Nuclear Medicine and PET/CT, Mahajan Imaging Centre, Sir Ganga Ram Hospital, New Delhi
,
Ankur Pruthi
1   Department of Nuclear Medicine and PET/CT, Manipal Hospital, New Delhi
,
Ritu Verma
Department of Nuclear Medicine and PET/CT, Mahajan Imaging Centre, Sir Ganga Ram Hospital, New Delhi
,
Anisha Manocha
2   Department of Pathology, Sir Ganga Ram Hospital, New Delhi, India
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Abstract

We report the case of a 43-year-old male patient, who presented with severe osteoporosis and pain at multiple sites and a chest X-ray suggestive of few cystic lesions in bilateral ribs. Subsequently, the patient was referred for bone scan, in view of the suspicion of polyostotic fibrous dysplasia or neoplastic lesions. Bone scan showed homogenously increased tracer uptake in the axial and appendicular skeletal system, suggestive of metabolic superscan. Computed tomography neck localized right inferior parathyroid adenoma and expansile lytic skeletal lesions suggestive of brown tumors were also seen. This case highlights the importance of bone scan, helping in the differential diagnosis of multiple skeletal lesions.

Keywords

Brown tumors - hyperparathyroidism - Methylene diphosphonate (MDP) bone scan - skeletal lesions

Financial support and sponsorship

Nil.




Publication History

Received: 26 August 2019

Accepted: 15 October 2019

Article published online:
19 April 2022

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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