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The biopsy evaluation and the entire serum PTH ranges (153pg/mL) supplied the diagnosis of hyperparathyroidism presenting as a brown tumor. An ultrasound of the region was unremarkable as well as the opposite biochemical studies and, based on these findings, a diagnosis of secondary hyperparathyroidism was raised. The getting older of the skin and no exposure to sunlight might lower the synthesis of vitamin D and calcium absorption leading for a hyperparathyroidism. This case thus highlights the importance of another facet to the myriad of

 

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