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Hypercalcemia and Collapse of First Lumbar Vertebra

Otto E. Au franc, MD; William N. Jones, MD; William H. Harris, MD
JAMA. 1963;183(8):679-681. doi:10.1001/jama.1963.63700080024018.
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Dr. W. Harris: This month and next month we would like to present two contrasting cases of lumbar vertebral fractures in postmenopausal women.

A 59-yr-old white female was admitted to the Phillips House with a diagnosis of hyperparathyroidism with impending acute parathyroid poisoning.

The patient had been in good health until 11 moprior to admission, when her right humerus was fractured in an automobile accident. The fracture healed without complication and the patient was well until 5 mo before admission, when she wrenched her back while opening a window. She noted a sudden onset of acute pain in the low back on the right side. There was no radiation of the pain and it gradually subsided. Four months before admission, she reinjured her lower back while opening a drawer. Again, she noted some gradual improvement with the passage of time. At about the same time, she developed hoarseness which she


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