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[Primary hyperparathyroidism. History].

Rev Rhum Mal Osteoartic

May 1988

Service de Rhumatologie, Hôpital Adolphe de Rothschild, Paris.

The term primary hyperparathyroidism currently refers to the clinical and biological manifestations resulting from the hypersecretion of parathyroid hormone by one or several parathyroid adenomas. This entity is a recent one since it goes back to 1925. The clinical picture resulting from this anomaly, were first described as Recklinghausen's fibrous osteitis, which was not justified since Recklinghausen had not established the relationship between the clinical manifestations and the adenoma discovered by Mandl, then under the name of parathyroid osteosis.

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[Osteosis cutis multiplex, an organoid nevus?].

Z Hautkr

April 1988

Hautklinik des Zentralkrankenhauses-Reinkenheide, Bremerhaven.

We report on a 71-year-old woman suffering from histologically proved osteosis cutis multiplex (Arzt's disease). The differential diagnosis includes multiple milia, closed comedones and hidradenomas. We discuss various etiopathologic concepts and a nevogenic origin in particular.

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A 61-year-old woman with a focus of lamellar bone with bone-marrow in the corium of the forehead skin, the socalled Osteoma Cutis is reported. A review of the literature revealed 416 reports of bone structure in the integument. Osteosis Cutis Faciei is a rare and a harmless illness occurring in women aged 40-80.

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The authors report on 4 cases of condensating prostatic osteosis, whose biological picture and histomorphometric lesions in the involved area indicate osteomalacia. They discuss the individual nature of such a syndrome, the links between vitamin D deficiency and hyperosteoidosis at a very slow noted speed of calcification, and the usefulness of investigating and treating the syndrome.

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