[A lie which became the truth].

Abstract

We describe a 54 year-old lady, on dialysis since 6 years, with severe hyperparathyroidism and multinodular goiter. After total thyroidectomy and subtotal parathyroidectomy a Tc-99 scan revealed multiple bone lesions consistent with metastatic disease. In the following weeks the patient general conditions and bone pain markedly improved and alkaline phosphatase returned to normal levels. Biopsy of a bone lesion revealed that the scintigraphic pattern was a false positive result due to hyperparathyroidism.

• Authors: G Enia
• Journal: Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia (G Ital Nefrol) 2007 Mar-Apr Vol. 24 Issue 2 Pg. 151-3 ISSN: 0393-5590 [Print] Italy
• Vernacular Title: Una bugia diventata verita'
• PMID: 17458830 (Publication Type: Case Reports, Journal Article)

Chemical References

• Radiopharmaceuticals
• Technetium Tc 99m Medronate

Topics

• Bone Neoplasms (complications, diagnosis, diagnostic imaging, secondary)
• Diagnosis, Differential
• Female
• Goiter, Nodular (diagnostic imaging, surgery)
• Humans
• Hyperparathyroidism, Secondary (diagnostic imaging, etiology, surgery)
• Kidney Failure, Chronic (diagnosis, diagnostic imaging, therapy)
• Middle Aged
• Parathyroidectomy
• Radionuclide Imaging
• Radiopharmaceuticals
• Renal Dialysis
• Technetium Tc 99m Medronate
• Thyroidectomy