<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932021000100183</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2021.08.01.183</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Paciente con fractura patológica de cúbito lado derecho]]></article-title>
<article-title xml:lang="en"><![CDATA[Patient with pathological right ulnar fracture]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina Cubilla]]></surname>
<given-names><![CDATA[Rocío Maridey]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto Valiente]]></surname>
<given-names><![CDATA[Sandra María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Vivian María Liz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central de Policía &#8220;Rigoberto Caballero&#8221; Servicio de Clínica Médica ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<fpage>183</fpage>
<lpage>186</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932021000100183&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932021000100183&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932021000100183&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El hiperparatiroidismo es una enfermedad eminentemente clínica que se presenta cuando existe un aumento en la producción de hormona paratiroidea, superior a las necesidades que el organismo requiere, dando lugar a hipercalcemia, trastornos óseos y renales en un grado variable. Se presenta el caso de un paciente de 64 años con hiperparatiroidismo secundario a un adenoma paratiroideo que fue diagnosticado por hallazgo casual, posterior a que el paciente venía presentando dolores óseos frecuentes de más de un año de evolución. Durante su internación se obtuvo el diagnóstico de adenoma paratiroideo por lo que fue intervenido quirúrgicamente con exéresis y tratamiento ambulatorio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Hyperparathyroidism is an eminently clinical disease that occurs when there is an increase in the production of parathyroid hormone, greater than the needs that the body requires, leading to hypercalcemia, bone and kidney disorders to a variable degree. We present the case of a 64-year-old patient with hyperparathyroidism secondary to a parathyroid adenoma that was diagnosed by chance finding, after the patient had been presenting frequent bone pain of more than a year of evolution. During his hospitalization, a diagnosis of parathyroid adenoma was obtained, for which he underwent surgery with excision and outpatient treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hiperparatiroidismo]]></kwd>
<kwd lng="es"><![CDATA[adenoma paratiroideo]]></kwd>
<kwd lng="es"><![CDATA[hormona paratiroidea]]></kwd>
<kwd lng="es"><![CDATA[hipercalcemia]]></kwd>
<kwd lng="en"><![CDATA[hyperparathyroidism]]></kwd>
<kwd lng="en"><![CDATA[parathyroid adenoma]]></kwd>
<kwd lng="en"><![CDATA[parathyroid hormone]]></kwd>
<kwd lng="en"><![CDATA[hypercalcemia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Cordellat]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hyperparathyroidism]]></article-title>
<source><![CDATA[Reumatol Clin]]></source>
<year>2012</year>
<volume>8</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>287-91</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rojas Garzón]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta Preciado]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Olivera Monroy]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Osorno]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Protocologos clínicos institucionales]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Nacional de Cancerología-ESE Colombia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Agostinis]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Batistelli]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez Ayala]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pietrangelo]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hiperparatiroidismo secundario a adenoma paratiroideo mediastinal]]></article-title>
<source><![CDATA[Rev Argent Endocrinol Metab]]></source>
<year>2012</year>
<volume>49</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>25-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alanoca Mamani]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Urquizo Ayala]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hiperparatiroidismo primario]]></article-title>
<source><![CDATA[Rev. Méd. La Paz]]></source>
<year>2018</year>
<volume>24</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>45-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Melmed]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Polonsky]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Larsen]]></surname>
<given-names><![CDATA[PR]]></given-names>
</name>
<name>
<surname><![CDATA[Kronenberg]]></surname>
<given-names><![CDATA[HM. Williams]]></given-names>
</name>
</person-group>
<source><![CDATA[Tratado de endocrinología]]></source>
<year>2017</year>
<edition>13th ed</edition>
<publisher-loc><![CDATA[España ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bilezikian]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Bandeira]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cusano]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hyperparathyroidism]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2018</year>
<volume>391</volume>
<numero>10116</numero>
<issue>10116</issue>
<page-range>168-78</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Insogna]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary hyperparathyroidism]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2018</year>
<volume>379</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1050-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
