Abstract
One of the most striking effects of parathyroid hormone (PTH) is that on bone. Osteitis fibrosa cystica was early recognised as a characteristic feature of bone in patients with hyperparathyroidism (Hunter and Turnbull, 1932). The main pathological changes which lead to this include an increase in number (and apparently activity) of osteoclasts, marrow fibrosis, and sometimes the formation of expanded cyst-like lesions, or brown tumours. Although excess bone resorption predominates, and is well documented radiologically at particular sites, such as the phalanges and ends of the long bones, there is often an increase in bone formation. This is exemplified by the osteosclerosis of secondary hyperparathyroidism in renal glomerular osteodystrophy.
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Smith, R. (1990). Role of Parathyroid Hormone in Bone Formation and Resorption. In: Pecile, A., de Bernard, B. (eds) Bone Regulatory Factors. NATO ASI Series, vol 184. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1508-8_8
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DOI: https://doi.org/10.1007/978-1-4757-1508-8_8
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