Abstract
Patient: 51 years old female.
Chief complaints are polyarthralgies and pathological fracture of right upper extremity.
Family history: non contributely.
Past history: duodenal ulcer, bronchial asthoma.
Present history: She developed the pain and swelling of both hands, knees and elbows in Jan. 1971. At that time she noticed a loss of appetite and general weakness which were followed difficulty in walking and was hospitalized on Apr. 18, 1971. On that day she developed a pathological fracture in her right humerus and was transferred to our hospital.
On X-Ray examination, right upper extremity showed abnormal findings which were polycystic and localized osteolytic changes.
On biopsy from her tibia, it was revealed histologically to be like a hyperparathyroidism. There may be some doubt to diagnose definitely as laboratory and physical examinations did not reveal typical findings related to hyperparathyroidism, however, this is a interesting case could be diagnosed as hyperparathyroidism.
