Abstract
Introduction: Primary hyperparathyroidism is a common disease especially in women but rarely discovered by multiple brown tumors with near normal serum calcium. Case report: A 64-year-old manpresented with disseminated bone pain. He had X-rays and a CT scan that objectified lytic lesions. These lesions correspond to multiple areas of intense uptake in bone scan evoking brown tumors. Biology showed calcium at 2.66mmol/l and PTH in serum at 2003µg/l. The diagnosis of parathyroid adenoma was highly suspected that’s why we did a Tc99msestamibi dabble phase parathyroid scan. It showed a left inferior parathyroid adenoma. Conclusion: The scintigraphic imaging is a valuable contribution to the diagnosis of brown tumor, it also allows for the etiologic diagnosis by detecting the nodule parathyroid.
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