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  • 8/12/2019 Osteitis FibrosaShare on FacebookShare on TwitterFavorito

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    Osteitis fibrosaShare on FacebookShare on twitterFavorito / CompartirVersin to print

    It is a complication of hyperparathyroidism in which bones become soft and deformed.

    causes

    The parathyroid glands are four glands in the neck that help control calcium use and removal by the body. Theydo this by producing parathyroid hormone (PTH), which helps control calcium, phosphorus and vitamin D in the

    blood and bones.

    Too much parathyroid hormone (hyperparathyroidism) can lead to increased bone breakdown, which can cause

    their softening.

    This condition is almost never caused by parathyroid cancer.

    Before 1950, about half of the people diagnosed with hyperparathyroidism had osteitis fibrosa. At present, the

    condition is not common, because the diagnosis of patients with hyperparathyroidism is done so earlier, before

    the bone softening occurs.

    People with severe hyperparathyroidism have a higher risk of osteitis fibrosa.

    symptomsOsteitis fibrosa may cause pain or tenderness in the bones and may be fractures (breaks) in the arms, legs or

    spine, like other bone problems.

    Hyperparathyroidism can cause nausea, constipation, fatigue and weakness.

    Exams and Tests

    Blood tests show a high level of calcium, parathyroid hormone and alkaline phosphatase (a bone chemical).

    Phosphorus levels may be low.

    Radiographs may show thin bones, fractures, bowing, and cysts. Also, dental radiographs may be abnormal.

    It may take an x-ray of the bone, as people with hyperparathyroidism are more likely to have osteopenia (thin

    bones) or osteoporosis (very thin bones) than to have fully developed fibrous osteitis.

    treatment

    Most of the bone problems of osteitis fibrosa can be reversed with surgery to remove the (s) gland (s) abnormalparathyroid (s). However, some people choose not to undergo surgery and instead they follow up with blood

    tests and bone measurements.

    If surgery is not possible, sometimes drugs can be used to lower calcium levels.

    complicationsSome of the complications of osteitis fibrosa are:

    bone fractures

    deformities

    painHyperparathyroidism due to problems such as kidney stones and kidney failure

    When to Contact a Medical ProfessionalCall your doctor if you have pain or tenderness in the bones or symptoms of hyperparathyroidism.

    prevention

    Today, with routine blood tests performed during a medical examination or other health problems generally

    high levels of calcium are detected before serious damage is done.