Osteoporosis can be primary or
secondary.
Secondary osteoporosis is the result of an underlying
disease such as an endocrine abnormality, and an example of such is
primary hyperparathyroidism. The most common cause of
primary hyperparathyroidism is
parathyroid gland adenoma. The
diagnosis of
primary hyperparathyroidism is based on the following biochemical examinations
parathyroid hormone,
serum calcium,
creatinine clearance, 24 hour urinary
calcium, and another examination such as
parathyroid gland scan. This is a rare case of an
adult man
who presented with a chief complaint of decreasing
body height,
back pain, difficulty in taking deep breaths and difficulty in his activities. The
patient was diagnosed with
primary hyperparathyroidism caused by
parathyroid gland adenoma. His complaint was reduced after
parathyroidectomy. His new complaint was that his
tooth can be pulled out easily. We found high levels of
parathyroid hormone and low levels of
serum calcium caused by
secondary hyperparathyroidism.