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Table of Contents
LETTER TO THE EDITOR
Year : 2011  |  Volume : 15  |  Issue : 3  |  Page : 229-230

Symptomatic primary hyperparathyroidism in Indians


1 Department of Endocrinology, JIPMER, Puducherry, India
2 Department of Nuclear Medicine, JIPMER, Puducherry, India

Date of Web Publication30-Jul-2011

Correspondence Address:
Sadishkumar C Kamalanathan
Department of Endocrinology, JIPMER, 557, 4th floor, Superspecialty Block, Dhanvanthri Nagar, Puducherry - 605 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.83413

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How to cite this article:
Kamalanathan SC, Mahesh D M, Vignesh G, Halanaik D. Symptomatic primary hyperparathyroidism in Indians. Indian J Endocr Metab 2011;15:229-30

How to cite this URL:
Kamalanathan SC, Mahesh D M, Vignesh G, Halanaik D. Symptomatic primary hyperparathyroidism in Indians. Indian J Endocr Metab [serial online] 2011 [cited 2019 Dec 7];15:229-30. Available from: http://www.ijem.in/text.asp?2011/15/3/229/83413

Sir,

I read with interest the case report on primary hyperparathyroidism presenting as recurrent pancreatitis. [1] It serves to emphasize the symptomatic presentation of the condition in India in contrast to that in West. Studies from different parts of the country have established that symptomatic predominates over asymptomatic presentation of primary hyperparathyroidism. [2],[3],[4],[5]

I want to bring to your attention a recent case of symptomatic primary hyperparathyroidism which presented as bilateral maxillary swelling to our institution. She was a 40-year-old lady who had classical biochemical features of primary hyperparathyroidism. Technetium (99 mTc) sestamibi scan localized the parathyroid adenoma to left inferior gland and whole-body bone scan [Figure 1] was suggestive of metabolic bone disease with evidence of brown tumors in bilateral maxilla and left iliac bone. Parathyroidectomy was done and biochemical features normalized following treatment of "Hungry bone syndrome." The brown tumors are expected to regress with time. Myriad symptomatic presentations of this condition are relatively common and lie undocumented in India.
Figure 1: Tc-99m MDP whole-body bone scan of patient with primary hyperparathyroidism

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   References Top

1.Misgar RA, Mathew V, Pandit K, Chowdhury S. Primary hyperparathyroidism presenting as recurrent acute pancreatitis: A case report and review of literature. Indian J Endocrinol Metab 2011;15:54-6.  Back to cited text no. 1
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2.Bhansali A, Masoodi SR, Somashekara-Reddy KS, Behera A, Radotra BD, Mittal BR, et al. Primary hyperparathyroidism in north India: A description of 52 cases. Ann Saudi Med 2005;25:29-35.  Back to cited text no. 2
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3.Priya G, Jyotsna VP, Gupta N, Chumber S, Bal CS, Karak AK, et al. Clinical and laboratory profile of primary hyperparathyroidism in India. Postgrad Med J 2008;84:34-9.  Back to cited text no. 3
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4.Mishra SK, Agarwal G, Kar DK, Gupta SK, Mithal A, Rastad J. Unique clinical characteristics of primary hyperparathyroidism in India. Br J Surg 2001;88:708-14.  Back to cited text no. 4
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5.Gopal RA, Acharya SV, Bandgar T, Menon PS, Dalvi AN, Shah NS. Clinical profile of primary hyperparathyroidism from western India: A single center experience. J Postgrad Med 2010;56:79-84.  Back to cited text no. 5
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