Parathyroid Adenoma in a Patient with Left Hip Pain: A Case Report
Mandana Khodashahi
Department of Rheumatology, Rheumatic Diseases Research Center (RDRC), Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Zahra Mirfeizi *
Department of Rheumatology, Rheumatic Diseases Research Center (RDRC), Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Bahram Memar
Department of Pathology, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad Reza Hatef
Department of Rheumatology, Rheumatic Diseases Research Center (RDRC), Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
*Author to whom correspondence should be addressed.
Abstract
Diagnosis of primary hyperparathyroidism (PHPT) is a challenging issue in some cases because of the uncommon and various presentations. Primary hyperparathyroidism is a relatively common condition, originating from parathyroid adenomas, with a prevalence of 25 per 100,000 people. In this paper we reported two cases of PHPT. First one was a 37-year-old female with a 3-month history of pain in the left hip and morning stiffness lasted for1-2 hours. The second case was a 73-year-old woman with one month history of swelling and pain in the right wrist and fever, chills, erythema on the dorsum of hands, and limited range of motion in the right hip, from five days before admission; she had also experienced weight loss (3 kg) and bone pain over the past month. Diagnostic processes including laboratory, imaging, and clinical interventions were compared and reported in this paper.
Keywords: Hip pain, hyperparathyroidism, parathyroid adenoma.