A Case Report on Von Recklinghausen’s Disease of Bone and Unchecked Hyperparathyroidism: Great Mimicker in Diagnosis

Primary hyperparathyroidism (PHPT) has an overt action on cortical bones and skeletal display. The
parathyroid hormone binds to osteoblasts, which further differentiates to osteoclasts and hereafter
cortical bone resorption. The incidence of new cases of a severe form of unchecked primary
hyperparathyroidism is decreasing day by day. Here, we report the case of a 40-year-old female
patient of primary hyperparathyroidism with a maiden visit to the hospital with multiple osteolytic
lesions and multiple pathological fractures. Magnetic resonance imaging (MRI) was done for the
pelvis and neck area. MRI pelvis (plain + contrast) revealed the bilateral fracture neck of the femur
and post contrast-enhancing cystic cavity in both iliac bone with solid component and multiple fluidfilled
levels. The diagnosis was installed and managed accordingly.