Brown tumours of maxilla and mandible as index presentaion of primary hyperparathyroidism

It is rightly said that oral cavity is a mirror that may reflect and reveal many of the human body's internal secrets. Some of oral manifestations are disease specific and help in raising high degree of suspicion for an alert clinician. Hyperparathyroidism is one of such systemic disorder which can present in craniofacial regions as erosive bony lesions known as brown tumours resulting in a local destructive phenomenon. As histological examination alone is not sufficient for differentially diagnosing it, clinical, radiological correlation and laboratory data are necessary for its definitive diagnosis. It is essential that while dealing with such clinical presentations, the underlying systemic disease is rightly recognized using a high index of suspicion and performing targeted investigations to provide correct diagnosis and referral for proper treatment avoiding unnecessary orthopaedic intervention .Here, we report a case of brown tumors involving maxilla and mandible resulting from primary hyperparathroidism in a young female patient with history of recent femur fracture and orthopaedic treatment