Indian Journal of Endocrinology and Metabolism

: 2011  |  Volume : 15  |  Issue : 3  |  Page : 229--230

Symptomatic primary hyperparathyroidism in Indians

Sadishkumar C Kamalanathan1, DM Mahesh1, G Vignesh1, Dhanapathi Halanaik2,  
1 Department of Endocrinology, JIPMER, Puducherry, India
2 Department of Nuclear Medicine, JIPMER, Puducherry, India

Correspondence Address:
Sadishkumar C Kamalanathan
Department of Endocrinology, JIPMER, 557, 4th floor, Superspecialty Block, Dhanvanthri Nagar, Puducherry - 605 006

How to cite this article:
Kamalanathan SC, Mahesh D M, Vignesh G, Halanaik D. Symptomatic primary hyperparathyroidism in Indians.Indian J Endocr Metab 2011;15:229-230

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 2021 Apr 12 ];15:229-230
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Full Text


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}


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