Seven-year follow-up in a case of primary hyperparathyroidism using quantitative ultrasound and dual X-ray absorptiometry

• Autorzy: Marek Bolanowski , Wojciech Pluskiewicz , Joanna Syrycka
• Języki publikacji: EN

Abstrakty

EN

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.

Słowa kluczowe

EN

Primary hyperparathyroidism; quantitative ultrasound; bone densitometry; perimenopause

• Czasopismo: Open Medicine
• Rocznik: 2007
• Tom: 2
• Numer: 3
• Strony: 341-345

Daty

wydano

2007-09-01

online

2007-06-09

Twórcy

autor

Marek Bolanowski

• Department of Endocrinology, Diabetology and Isotope Therapy, Wrocław Medical University, 50-367, Poland,

autor

Wojciech Pluskiewicz

• Metabolic Bone Diseases Unit, Department of Internal Diseases, Diabetology and Nephrology in Zabrze, Silesian School of Medicine, 41-800, Katowice, Poland

autor

Joanna Syrycka

• Department of Endocrinology, Diabetology and Isotope Therapy, Wrocław Medical University, 50-367, Poland

Bibliografia

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• [9] 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]
• [10] 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]

Identyfikatory

DOI

10.2478/s11536-007-0028-0