Moans & Abdominal groans!
HISTOLOGY:
Brown tumors -
islands of osteobalsts in fibrous & hemorrhagic tissue.
(Osteitis fibrosa cystica/Von Recklinghausens disease of bone)
MANAGEMENT
A. Asymptomatic & mild hypercalcemia:
1)Avoid these which can cause rise in serum Ca+
-dehydration
- prolonged bed rest
- high calcium diet
- Lithium
- Thiazide
2)Vitamin D (500 units daily)
Vitamin D deficiency stimulates PTH secretion.
B. Symptomatic/moderate hypercalcemia
Parathyroidectomy
-if one enlarged parathyroid(adenoma) is found
it is removed.
- If 4 overactive glands(hyperplasia) are found