Hyperparathyroidism

Hyperparathyroidism is the effect of excess parathyroid hormone (PTH) in the body. It can be primary, secondary or tertiary. There are many characteristic imaging features predominantly involving the skeletal system.

Pathology

Increased levels of the PTH lead to increased osteoclastic activity. The resultant bone resorption produces cortical thinning (subperiosteal resorption) and osteopaenia.

Subtypes
Associations

Hyperparathyroidism can occur in the context of the following conditions from parathyroid hyperplasia or less commonly multiple parathyroid adenomas 5:

Radiographic features

Findings in secondary (and tertiary) hyperparathyroidism are often associated with the osteosclerosis of renal osteodystrophy, and the osteomalacia of vitamin D deficiency:


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Article Information

rID: 1477
Section: Gamuts
Tag: endocrine
Synonyms or Alternate Spellings:
  • Primary hyperparathyroidism
  • Secondary hyperparathyroidism
  • Hyperparathyroidism: general
  • Tertiary hyperparathyroidism
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    Case 1: rugger-jersey spine
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    Case 2: subperiosteal resorption
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    Case 3: Brown tumours
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    Brown Tumors - Co...
    Case 4: Brown tumours - MRI
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    Case 5: tuft erosions & subperiosteal resorption
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    Hyperparathyroidi...
    Case 6: dens erosion from hyperparathyroisdism
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    Case 7
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    Case 8
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    Case 9: bone scintigraphy
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    Case 10
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