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Case Records of the Massachusetts General Hospital
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Volume 358:2266-2274 May 22, 2008 Number 21
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Case 16-2008 — A 46-Year-Old Woman with Bone Pain
Marie B. Demay, M.D., Daniel I. Rosenthal, M.D., and Vikram Deshpande, M.D.

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Presentation of Case

A 46-year-old woman was seen in the orthopedic oncology clinic of this hospital because of pain in the right hip and leg. Several months earlier, pain had developed in her right upper medial thigh and had gradually increased in intensity despite treatment with ibuprofen, pantoprazole, and acetaminophen–codeine. Four weeks before this evaluation, she was seen at another facility. On examination, her vital signs were normal; her height was 156.2 cm, and her weight 44.5 kg. There was tenderness over the right medial adductor magnus muscle, full range of motion of the hip joint, and pain on standing. Two weeks later, . . . [Full Text of this Article]

Differential Diagnosis

Malignant Tumors in Celiac Disease

Hyperparathyroidism in Celiac Disease

Osteitis Fibrosa Cystica

Parathyroid Adenoma or Carcinoma

Summary

Pathological Discussion

Discussion of Management

Anatomical Diagnosis


Source Information

From the Endocrine Unit (M.B.D.) and the Departments of Radiology (D.I.R.) and Pathology (V.D.), Massachusetts General Hospital; and the Departments of Medicine (M.B.D.), Radiology (D.I.R.), and Pathology (V.D.), Harvard Medical School.



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