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Primary hyperparathyroidism presenting as a palatal brown tumor
1Department of Oral & Maxillofacial Surgery, Saudi Arabia.
Summary
Primary hyperparathyroidism is rare in young adults, often presenting asymptomatically. This case highlights a young female with extensive bone lesions and palatal swelling due to undiagnosed primary hyperparathyroidism.
Area of Science:
- Endocrinology
- Oncology
- Skeletal Biology
Background:
- Primary hyperparathyroidism (PHP) is uncommon in individuals under 30, with most cases diagnosed asymptomatically due to advanced diagnostics.
- Advanced PHP with significant bone lesions is exceptionally rare in contemporary medical practice.
Observation:
- A case report details a 25-year-old female with undiagnosed PHP presenting with a palatal swelling.
- Investigations revealed a parathyroid adenoma, nephrocalcinosis, and widespread bone lesions affecting the palate, maxillary sinus, and pelvic bone.
Findings:
- The patient's presentation underscores the potential for severe, symptomatic manifestations of PHP even in young individuals.
- Diagnostic findings included parathyroid adenoma, nephrocalcinosis, and extensive osteolytic lesions.
Implications:
- This case emphasizes the importance of considering PHP in young patients with unusual presentations, including oral and maxillofacial symptoms.
- It highlights the need for thorough evaluation of bone health and calcium metabolism in such cases.
- The report reviews diagnostic strategies and discusses treatment modalities for bone lesions associated with PHP.
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