Radiographic Diagnostic Dilemma – A Rare Case Report of Secondary Hyperparathyroidism

Abstract

Abstract This case report highlights the role of oral physicians in taking a detailed systemic history along with relevant laboratory investigations to rule out some rarer cases of secondary hyperparathyroidism manifesting in the jaw/mandibular bone. Although radographicaly the tumour site was resembling like Central giant cell granuloma but on detiled laboratory investigations alkaline phospahatase levels (401IU/L)were raised and serum calcium levels were (8.5mg/dl) hence final diagnosis of secondary hyperparathyroidisum was made and pateint was managed by giving vitamin d3 and calcium support rather then surgery. Hence, cases like this draw the attention of oral as well as general physicians to not treat the patient based only on histopathological or radiological findings without proper correlation of clinical and other laboratory investigations.