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Metacarpal Brown Tumor in Secondary Hyperparathyroidism Due to Vitamin-D DeficiencyA Case Report
Erdinc Erturk, MD1; Murat Keskin, MD1; Canan Ersoy, MD1; Tufan Kaleli, MD1; Sazi Imamoglu, MD1; Gulaydan Filiz, MD1
1 Departments of Endocrinology (E.E., M.K., C.E., and S.I.), Orthopedics (T.K.), and Pathology (G.F.), Uludag University School of Medicine, Gorukle 16059 Bursa, Turkey. E-mail address for E. Erturk: ererturk@uludag.edu.tr
The Journal of Bone & Joint Surgery.  2005; 87:1363-1366  doi:10.2106/JBJS.D.02250
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Extract

Brown tumors are locally destructive bone lesions caused by rapid osteoclastic bone resorption due to severe hyperparathyroidism1. For years, brown tumors have been considered to be characteristic of primary hyperparathyroidism. However, brown tumors also have been reported to occur in patients with severe hyperparathyroidism secondary to chronic renal failure2-4, especially those on long-term hemo-dialysis. Hypocalcemia, hyperphosphatemia, and vitamin-D deficiency are the basic characteristics of chronic renal failure associated with secondary hyperparathyroidism.
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