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原发性甲状腺功能亢进症(甲旁亢)是一种少见的代谢性骨病,临床较易误诊,为提高对本病的认识,本文总结我科1973～1986年经手术及病理确诊的12例,讨论其诊断问题。临床资料一、一般情况:本组男8例,女4例。起病年龄20～48岁,平均31岁。病程最短8月,最长8年,平均4.2年。12例中有家族性甲旁亢2例。8例确诊前曾误诊为风湿性关节炎,肌营养不良,骨纤维异常增殖症,骨折、单纯性骨囊肿等病,2例做了不必要的手术。二、临床表现:本组病人均系中晚期病例,11例有骨病,其分型为单纯骨病型9例,混合型2例,单纯肾结石型1例。临床表现见表1。三、实验室检查:见表2。四、x线检查:见表3。
Primary hyperparathyroidism (hyperparathyroidism) is a rare metabolic bone disease, clinical misdiagnosis, in order to improve awareness of the disease, this article summarizes our department from 1973 to 1986 by surgery and pathology confirmed 12 For example, discuss its diagnostic issues. Clinical data First, the general situation: The group of 8 males and 4 females. Age onset 20 to 48 years old, average 31 years old. The shortest duration of August, up to 8 years, an average of 4.2 years. Twelve cases were familial hyperparathyroidism in 2 cases. Eight cases were misdiagnosed as rheumatoid arthritis, muscular dystrophy, dysplasia of bone fiber, bone fracture and simple bone cyst before they were diagnosed. Two cases had unnecessary surgery. Second, the clinical manifestations: This group of patients are in the late cases, 11 cases of bone disease, the type of simple bone disease in 9 cases, mixed in 2 cases, simple kidney stone in 1 case. Clinical manifestations in Table 1. Third, laboratory tests: See Table 2. Fourth, x-ray examination: see Table 3.