Hair on end sign

Case contributed by Dr Iqbal Naseem

Presentation

A young girl with known history of repeated blood transfusions presented with severe anemia.

Patient Data

Age: 11 years
Gender: Female
X-ray

Radiograph skull AP and Lateral views showing widened diploic space and vertical striations running perpendicularly in diploic space giving rise to characteristic hair on end appearance.

Case Discussion

Skeletal findings in chronic hemolytic disorders are manifestations of extra-medullary hematopoiesis.

Extra-medullary hematopoiesis manifests in spine as paravertebral masses.

In skull it manifests as widened diploic space and vertical striations running in diploic space giving rise to characteristic hair on end sign.

PlayAdd to Share

Case information

rID: 20108
Case created: 3rd Nov 2012
Last edited: 18th Feb 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.