Seven-year follow-up in a case of primary hyperparathyroidism using quantitative ultrasound and dual X-ray absorptiometry
We have previously reported a case of a 36-year-old woman who was diagnosed with primary hyperparathyroidism following initial skeletal abnormalities in the hand phalanges and calcaneus revealed by quantitative ultrasound (QUS). Successful parathyroid adenoma surgery resulted in progressive increase of bone mineral density and QUS parameters within 6 months, 1 year and 2 years of follow-up. Now, 5 years after the last measurement and at the onset of her menopause, the study was repeated. It has shown further increase in some ultrasonic and densitometric parameters but decrease in others. This discrepancy could be associated with the early influence of perimenopause on trabecular bone. Based on the current report one can conclude that peripheral QUS used on the hand phalanges and calcaneus is a useful tool for the diagnosis and monitoring of skeletal alterations due to parathyroid dysfunction. Moreover, it can detect early changes associated with perimenopause.
- Department of Endocrinology, Diabetology and Isotope Therapy, Wrocław Medical University, 50-367, Poland, firstname.lastname@example.org
- Metabolic Bone Diseases Unit, Department of Internal Diseases, Diabetology and Nephrology in Zabrze, Silesian School of Medicine, 41-800, Katowice, Poland
- Department of Endocrinology, Diabetology and Isotope Therapy, Wrocław Medical University, 50-367, Poland
-  S.J. Silverberg, F.G. Locker and J.P. Bilezikian: “Vertebral osteopenia: a new indication for surgery in primary hyperparathyroidism”, J. Clin. Endocrinol. Metab., Vol. 81, (1996), pp. 4007–4012. http://dx.doi.org/10.1210/jc.81.11.4007[Crossref]
-  B. Drozdzowska and W. Pluskiewicz: “Quantitative ultrasound in diagnosis of metabolic bone diseases”, Curr. Med. Imaging. Rev., Vol. 1, (2005), pp. 67–74. http://dx.doi.org/10.2174/1573405052952985[Crossref]
-  S. Gonelli, A. Montagnani, C. Cepollaro, R. Monaco, L. Gennari, B. Rossi, S. Pacini and C. Gennari: “Quantitative ultrasound and bone mineral density in patients with primary hyperparathyroidism before and after surgical treatment”, Osteoporos. Int., Vol. 11, (2000), pp. 255–260. http://dx.doi.org/10.1007/s001980050289[Crossref]
-  M. Bolanowski and W. Pluskiewicz: “Quantitative ultrasound of the hand phalanges and calcaneus revealed skeletal abnormalities due to primary hyperparathyroidism. A case report.”, Ultrasound Med. Biol., Vol. 28, (2002), pp. 265–269. http://dx.doi.org/10.1016/S0301-5629(01)00487-2[Crossref]
-  M. Bolanowski, D. Jędrzejuk, A. Milewicz and A. Arkowska: “Quantitative ultrasound of the heel and some parameters of bone turnover in patients with acromegaly”, Osteoporos. Int., Vol. 13, (2002), pp. 303–308. http://dx.doi.org/10.1007/s001980200030[Crossref]
-  M. Bolanowski, W. Pluskiewicz, P. Adamczyk and J. Daroszewski: “Quantitative ultrasound at the hand phalanges in patients with acromegaly”, Ultrasound Med. Biol., Vol. 32, (2002), pp. 191–195. http://dx.doi.org/10.1016/j.ultrasmedbio.2005.10.003[Crossref]
-  B. Larijani, M.H. Dabbaghmanesh, S. Aghakhani, M. Sedaghat, Z. Hamidi and E. Rahimi: “Correlation of quantitative heel ultrasonography with central dual-energy X-ray absorptiometric bone mineral density in postmenopausal women”, J. Ultrasound Med., Vol. 24, (2005), pp. 941–946.
-  B.M. Ingle, A.B.C. Machado, C.A. Pereda and R. Eastell: “Monitoring alendronate and estradiol therapy with quantitative ultrasound and bone mineral density”, J. Clin. Densitom., Vol. 8, (2005), pp. 278–286. http://dx.doi.org/10.1385/JCD:8:3:278[Crossref]
-  J.A. Kanis, O. Johnell, A. Oden, C. De Laet and F. de Terlizzi: “Ten-year probabilities of clinical vertebral fractures according to phalangeal quantitative ultrasonography”, Osteoporos. Int., Vol. 16, (2005), pp. 1065–1070. http://dx.doi.org/10.1007/s00198-004-1805-0[Crossref]
-  B. Drozdzowska, W. Pluskiewicz and F. de Terlizzi: “The usefulness of quantitative ultrasound at the hand phalanges in the detection of the different types of nontraumatic fractures”, Ultrasound Med. Biol., Vol. 29, (2003), pp. 1545–1550. http://dx.doi.org/10.1016/j.ultrasmedbio.2003.08.009[Crossref]