Salt and pepper sign - skull

Case contributed by Mohammadtaghi Niknejad


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

Patient Data

Age: 40 years
Gender: Male

Coarse granular appearance is seen on lateral radiography.

Case Discussion

Multiple small areas on the lateral skull radiograph 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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