Osteitis fibrosa

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Bone tumor

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Osteitis fibrosa

Osteitis fibrosa cystica may cause bone pain or tenderness. There may be fractures (breaks) in the arms, legs, or spine, or deformities (bowing of the bones). Hyperparathyroidism itself may cause kidney stones or problems, nausea or constipation, or fatigue and weakness.

Blood tests show a high level of calcium and alkaline phosphatase (a bone chemical). Phosphorus may be low. The level of parathyroid hormone is elevated.

X-rays may show thin bones, fractures, bowing, and cysts. The cysts may be filled with clear fluid or filled with material ("brown tumors"). The skull may look like "ground glass" or "salt and pepper." The outer part of bones may be eroded; the most sensitive area to check is the fingers. Teeth X-rays may also be abnormal.

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