Presentation
Poor historian. Minor trauma.
Patient Data
Age: 55 years
Gender: Male
From the case:
Acro-osteolysis from end-stage renal failure
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Radiocephalic AV fistula. Distal phalangeal resorption of multiple fingers in keeping with acro-osteolysis. Fifth DIP joint fixed flexion deformity.
Case Discussion
The patient had known end-stage renal failure and several years of regular haemodialysis (attended intermittently). A common cause of acro-osteolysis in hyperparathyroidism from chronic renal failure.