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Primary hyperparathyroidism of the mandible. A case report
S M Khateery1, P J Dhanrajani, G A Swaify
1Department of Oral & Maxillofacial Surgery, Riyadh Dental Centre, Kingdom of Saudi Arabia.
Summary
Primary hyperparathyroidism, a condition of the parathyroid glands, can affect the jawbone. Even with normal calcium and phosphorus levels, hyperparathyroidism should be considered.
Area of Science:
- Endocrinology
- Oncology
- Oral and Maxillofacial Surgery
Background:
- Primary hyperparathyroidism involves parathyroid gland neoplasia, leading to bone resorption and fibrous replacement.
- It is characterized by excessive parathyroid hormone production, affecting calcium homeostasis.
Observation:
- A case report details a 16-year-old Saudi female with primary hyperparathyroidism affecting the mandible.
- The patient underwent surgical intervention for the condition.
Findings:
- This case highlights primary hyperparathyroidism presenting with normocalcemia (normal calcium levels).
- Negative laboratory tests for calcium and phosphorus do not rule out hyperparathyroidism.
Implications:
- This case underscores the importance of considering hyperparathyroidism even with normal biochemical markers.
- Early diagnosis and surgical treatment are crucial for managing bone resorption and related complications.