Tumor pardo del paladar, presentación atípica de hiperparatiroidismo primario en adolescente. Buena evolución y normalización de la masa ósea tras paratiroidectomía
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El hiperparatiroidismo primario (HPTP) es poco frecuente en niños y adolescentes. Hay escasos datos para el manejo de estos pacientes en pediatría. Las glándulas paratiroideas son glándulas endocrinas que secretan hormona paratiroidea (PTH) y regulan el metabolismo del calcio y del fósforo. La sobreexpresión de PTH se llama hiperparatiroidismo y este se clasifica en primario, secundario y terciario. En los adolescentes, 80 to 92% de los hiperparatiroidismos primarios se deben a adenoma paratiroideo. Su desarrollo es infrecuente durante la adolescencia. Presentamos el caso clínico de una adolescente con una primera manifestación atípica de HPTP con presencia de un tumor pardo del paladar, presentación rara de adenoma paratiroideo, acompañado de hipercalcemia, marcada elevación de PTH y varias lesiones óseas.
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Derechos de autor: Actualizaciones en Osteología es la revista oficial de la Asociación Argentina de Osteología y Metabolismo Mineral (AAOMM) que posee los derechos de autor de todo el material publicado en dicha revista.
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