Renal osteodystrophy

Case contributed by Dr David Wang

Presentation

Background of ESRF.

Patient Data

Age: 45 years
Gender: Female
X-ray

Chest

There are bilateral distal clavicular erosions and a rugger-jersey appearance of the spine.

X-ray

Hands

Bilateral subperiosteal resorption of the phalanges, with a brown tumor of the right proximal phalanx. Extensive vascular calcification.

Case Discussion

Biochemistry showed elevated PTH levels.

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