Case contributed by Sepehr Haghighi


Headache in a patient with history of chronic kidney disease and 4 years of hemodialysis

Patient Data

Age: 15 years
Gender: Female

Bilateral scleral punctate calcification and bilateral internal carotid arteries wall calcification.

Widespread skull vault and facial bone expansion with a ground-glass matrix. Multiple small rounded well-defined lytic lesions at the supraorbital rim.

Mucosal thickening of ethmoidal air cells and opacification of left maxillary sinus due to sinusitis is present.

Case Discussion

This is a patient with chronic kidney disease and history of hemodialysis which result in secondary hyperparathyroidism.

Chronic hypocalcemia with renal osteodystrophy being the most common cause of secondary hyperparathyroidism.

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