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Previous Volume 328:1031-1035 April 8, 1993 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 74-year-old woman was admitted to the hospital because of hypercalcemia and an osteolytic bone lesion.

The patient had been in good health until six years earlier, when hypercalcemia was discovered. The alkaline phosphatase was increased, and the parathyroid hormone was six times the upper limit of normal. The calcium rose as high as 13.6 mg per deciliter (3.4 mmol per liter), although the patient denied all symptoms. An ultrasonographic examination of the neck was said to show no definite evidence of a parathyroid adenoma.

Thereafter the patient continued to feel well except for intermittent fatigue until three months before . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Michael M. Lewis' Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

This article has been cited by other articles:

• Rubin, M. R., LiVolsi, V. A., Bandeira, F., Caldas, G., Bilezikian, J. P. (2001). Tc99m-Sestamibi Uptake in Osteitis Fibrosa Cystica Simulating Metastatic Bone Disease. J. Clin. Endocrinol. Metab. 86: 5138-5141 [Full Text]  
• Kulak, C. A. M., Bandeira, C., Voss, D., Sobieszczyk, S. M., Silverberg, S. J., Bandeira, F., Bilezikian, J. P. (1998). Marked Improvement in Bone Mass after Parathyroidectomy in Osteitis Fibrosa Cystica. J. Clin. Endocrinol. Metab. 83: 732-735 [Full Text]