ISSN:
1432-2307
Keywords:
Primary hyperparathyroidism
;
Bone cells
;
Bone matrix
;
Ultrastructure
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary An electron microscope investigation has been carried out on needle biopsies of the iliac crest of 8 patients suffering from primary hyperparathyroidism. A marked increase in bone resorption was the most conspicuous finding. It was due both to increased osteoclastic activity and to periosteocytic osteolysis. The osteoclasts had a more strongly developed brush border and contained more cytoplasmic vacuoles than those in controls. Many osteocytes were found within enlarged, irregular lacunae, and were surrounded by a space containing amorphous, granular and filamentous material. Their mitochondria were sometimes calcified. Osteoblasts were more active than in controls as shown by the developed rough ergastoplasmic cysternae and thick osteoid borders found near some of them. The osteoid tissue, however, was uncalcified; ultrastructurally, lack of the calcification front and incomplete matrix calcification were demonstrable. Mast cells, and osteoclast- and macrophage-like giant cells were often found in the fibrotic marrow spaces. These results confirm that both the resorption and the formation of bone are stimulated in hyperparathyroidism. The calcification process is delayed and often remains incomplete.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00432779
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