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Secondary hyperparathyroidism causing increased jaw bone density and mandibular pain: a case report.
Aerden, Thomas; Grisar, Koenraad; Nys, Margaux; Politis, Constantinus.
Afiliación
  • Aerden T; OMFS-IMPATH Research Group, Department Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium; Department of Oral and Maxillofacial Surgery, Leuven University Hospitals, Leuven, Belgium. Electronic address: Thomas.aerden@gmail.com.
  • Grisar K; OMFS-IMPATH Research Group, Department Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium; Department of Oral and Maxillofacial Surgery, Leuven University Hospitals, Leuven, Belgium.
  • Nys M; OMFS-IMPATH Research Group, Department Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium; Department of Oral and Maxillofacial Surgery, Leuven University Hospitals, Leuven, Belgium.
  • Politis C; OMFS-IMPATH Research Group, Department Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium; Department of Oral and Maxillofacial Surgery, Leuven University Hospitals, Leuven, Belgium.
Article en En | MEDLINE | ID: mdl-29310888
We present the case of a 32-year-old male patient complaining of recurrent mandibular pain for 3.5 years. Panoramic radiography indicated increased cortical density of the mandibular lower border. Scintigraphy and single-photon emission computed tomography revealed metabolic hyperactivity in that region without pathologic lymph nodes. A bone biopsy specimen of the mandibular lower border did not have inflammation or cytologic atypia. Endocrinologic investigation confirmed secondary hyperparathyroidism as a result of hypovitaminosis D. Several weeks after starting therapy with oral vitamin D supplements, the symptoms completely disappeared. Increased cortical density is a rare manifestation of secondary hyperparathyroidism, which normally causes the lamina dura to vanish and produces a ground-glass appearance as a result of blurring of the trabecular bone pattern. Because focal hyperostosis can have multiple benign or malignant causes, radiologic examination of the jaw bones is indispensable for evaluating orofacial pain. Increased cortical density may be caused by metabolic diseases, requiring further investigations, including biopsy and blood analysis.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Vitamina D / Deficiencia de Vitamina D / Enfermedades Mandibulares / Hiperparatiroidismo Secundario Tipo de estudio: Diagnostic_studies Idioma: En Revista: Oral Surg Oral Med Oral Pathol Oral Radiol Año: 2018 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Vitamina D / Deficiencia de Vitamina D / Enfermedades Mandibulares / Hiperparatiroidismo Secundario Tipo de estudio: Diagnostic_studies Idioma: En Revista: Oral Surg Oral Med Oral Pathol Oral Radiol Año: 2018 Tipo del documento: Article