以骨损伤为主要表现的原发性甲状旁腺功能亢进症误诊一例

Misdiagnosis of primary hyperparathyroidism with severe bone lesion: a case report

报道1例原发性甲状旁腺功能亢进症误诊病例。患者是以多发骨痛为临床表现的绝经后女性,因多发骨骼病变被误诊为原发性骨质疏松、骨髓瘤、骨转移瘤等。本文旨在警示临床医师关注骨质疏松的诊断与鉴别诊断,减少并避免误诊、误治。

We report a postmenopausal female presented with multiple bone pain,being misdiagnosed as many diseases,including primary osteoporosis,multiple myeloma,giant cell tumor of bone and bone metastases. The diagnosis proved to be primary hyperparathyroidism,which is secondary osteoporosis. In order to avoid misdiagnosis and mistreatment,we should pay attention to the diagnosis and differential diagnosis of osteoporosis in clinical practice.