Indian Journal of Nuclear Medicine

CASE REPORT
Year
: 2015  |  Volume : 30  |  Issue : 3  |  Page : 263--265

Osteosclerotic and osteolytic manifestations of hyperparathyroidism in a case of Tc99m SestaMIBI positive parathyroid adenoma


Kalpa Jyoti Das1, Aditi Khurana Sehgal1, Ashish Jaiman2, Ravinder Singh Sethi1 
1 Department of Nuclear Medicine, VMMC and Safdarjung Hospital, New Delhi, India
2 Department of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, India

Correspondence Address:
Ravinder Singh Sethi
Department of Nuclear Medicine, H Block, VMMC and Safdarjung Hospital, New Delhi - 110 029
India

Primary hyperparathyroidism is the first differential diagnosis when a patient presents with asymptomatic hypercalcemia. The symptoms of hyperparathyroidism can be as grave as skeletal, cardiovascular, and neuropsychological changes. Skeletal manifestations are relatively common, and patient may present with generalized or focal bone pains, fragility fractures, subperiosteal bone resorption, and osteolytic lesions like brown tumors and salt and pepper appearance of the skull. However, focal osteosclerotic lesions of the skull are rare findings in hyperparathyroidism. Only a few cases of associated osteosclerosis are reported in the literature. Here, we report a case of Tc99m SestaMIBI positive parathyroid adenoma with coexisting osteolytic and osteosclerotic skull lesions on Tc99m methylene diphosphonate bone scan.


How to cite this article:
Das KJ, Sehgal AK, Jaiman A, Sethi RS. Osteosclerotic and osteolytic manifestations of hyperparathyroidism in a case of Tc99m SestaMIBI positive parathyroid adenoma.Indian J Nucl Med 2015;30:263-265


How to cite this URL:
Das KJ, Sehgal AK, Jaiman A, Sethi RS. Osteosclerotic and osteolytic manifestations of hyperparathyroidism in a case of Tc99m SestaMIBI positive parathyroid adenoma. Indian J Nucl Med [serial online] 2015 [cited 2020 Jan 27 ];30:263-265
Available from: http://www.ijnm.in/article.asp?issn=0972-3919;year=2015;volume=30;issue=3;spage=263;epage=265;aulast=Das;type=0