@misc{cogprints7322,
          volume = {1},
          number = {2},
           month = {April},
          author = {Int J Cur Bio Med Sci.  Mona Mlika, Zidi-Moaffak Y  , Lakhoua  Y, Farah  F, Kourda  N, Ben Abdallah  N, Zermani  R,  Baltagi-Ben Jilani  S },
           title = {About A Rare Cause Of Primary Hyperparathyroidism},
       publisher = {CurrentSciDirect Publications},
            year = {2011},
         journal = {Int J Cur Bio Med Sci. },
           pages = {47--48},
        keywords = {Clear cell hyperplasia, hyperparathyroidism, management},
             url = {http://cogprints.org/7322/},
        abstract = {Introduction: Primary hyperparathyro{\"i}dism is observed in 35 to 44 subjects/ 100000 persons. The increased production of parathyroid hormones is secondary to primary glandular modifications consisting mainly in adenomas. The authors report a clear-cell hyperplasia causing primary hyperparathyroidism. Observation: We report the case of a 25-year-old man who was admitted to explore pathologic fractures of the left arm and a malignant hypercalcaemia. Complementary laboratory tests revealed primary hyperparathyroidism. A multiple endocrine neoplasia was excluded by radiologic examinations. Cervical ultra-sound examination revealed 2 parathyroid adenomas and per-operative exploration showed 3 ? adenomas ?. Microscopic examination of the 4 parathyroid glands specimen concluded to a clear cell hyperplasia.  Conclusion: Clear cell hyperplasia is a benign cause of primary hyperparathyroidism. The diagnosis is based upon histologic findings and examination of the 4 glands. }
}

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