Osteolytic deposits of the pelvis leading to the diagnosis of primary hyperparathyreosis: case report

Authors: Jr Raška Ivan 1;  Rašková Mária 1;  Včelák Josef 2;  Junková Kristýna 2,3
Authors‘ workplace: III. interní klinika - endokrinologie a metabolismu 1. LF UK a VFN v Praze 1;  Endokrinologický ústav v Praze 2;  Ústav biologie a lékařské genetiky 1. LF UK a VFN v Praze 3
Published in: Clinical Osteology 2020; 25(2): 99-102


Primary hyperparatyroidism (PHPT) is a common endocrine disease and represents the most common cause of hypercalcemia. Thanks to modern diagnostic and laboratory approaches that allow us to diagnose and treat asympto­matic and mild forms of PHPT, the number of patients with clinically symptomatic PHPT decreases. The case report deals with the case of a 30 year old woman who underwent medical examination due to renal colic. Nephrolithiasis and multiple osteolytic lesions in the pelvic area were found on CT. A differential diagnostic examination was initiated considering a hematological malignancy that was excluded. After calcium-phosphate metabolism examination clinically symptomatic PHPT diagnosis was set.


primary hyperparathyroidism – brown tumor – osteolytic leasons


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Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology
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