NORMAN N. KOHN, M.D.; RALPH M. MYERSON, M.D., F.A.C.P.
The clinical, biochemical, radiologic, and histopathologic findings of hyperparathyroidism are sufficiently characteristic in the majority of instances to allow the diagnosis to be made with a fair degree of certainty prior to surgical exploration. Occasionally, however, difficulty is encountered. Atypical features may be present which render the preoperative diagnosis uncertain. When another disorder coexists, which, in itself may present features similar to those seen in hyperparathyroidism, making the diagnosis is apt to be especially difficult.
In the present case the patient was found to have typical radiologic evidence of Paget's disease, confirmed by bone biopsy. Certain features, however, were atypical
KOHN NN, MYERSON RM. HYPERPARATHYROIDISM ASSOCIATED WITH PAGET'S DISEASE1. Ann Intern Med. 1961;54:985–992. doi: 10.7326/0003-4819-54-5-985
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Published: Ann Intern Med. 1961;54(5):985-992.
Endocrine and Metabolism, Parathyroid Disorders.
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