Salt and pepper sign - skull

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

A known case of secondary hyperparathyrodism due to end stage renal disease

Patient Data

Age: 40 years old
Gender: Male
X-ray

Coarse granular appearance is seen on lateral radiography.

Case Discussion

Multiple small area on lateral skull radiography due to trabecular bone resorption, loss of spongiosa and fibrous replacement . This appearance in a patient with end stage renal disease and secondary hyperparathyrodism is called salt and pepper sign.

 

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Case information

rID: 21127
Case created: 5th Jan 2013
Last edited: 12th Feb 2016
Inclusion in quiz mode: Included

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