AN UNUSUAL PRESENTATION OF TWO CASES OF PARATHYROID ADENOMA - PRESENTING AS PATHOLOGICAL FRACTURE - A CASE SERIES

Primary Hyperparathyroidism is usually diagnosed as an incidental finding of hypercalcemia in blood tests or due to symptoms secondary to the high calcium. Overt bone disease is an extremely rare presentation. Fractures in hyperparathyroidism are unusual and usually affect the vertebrae. Pathological fractures have been described in patients with parathyroid carcinoma. We report on two patients with benign parathyroid adenoma who primarily presented with pathological fractures of long bones. Excision of the parathyroid adenoma and immobilization of the fractures resulted in the return of the serum chemistry to normal and improvement of bone healing