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Q J Med 2002; 95: 255-257
© 2002 Association of Physicians

Correspondence

Severe osteoporosis and autonomous hyperparathyroidism: making the numbers add up

U. Weis, D.R. Meeking and M.H. Cummings

Academic Department of Diabetes and Endocrinology, Queen Alexandra Hospital, Portsmouth

Sir,

We present an unusual case of severe osteoporosis caused by hyperparathyroidism in which diagnostic confusion arose because of concomitant Vitamin D deficiency attributable to coeliac disease.

A 65-year-old woman presented following a nontraumatic fracture of her distal ulna. The radiograph of the forearm showed a distal fracture of the left ulna, and suggested significant reduction in bone mineral density. The fracture failed to heal. Bone densitometry (dual X-ray . . . [Full Text of this Article]

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