Subperiosteal resorption

Case contributed by Laughlin Dawes
Diagnosis certain

Presentation

Chronic renal failure and elevated parathyroid hormone

Patient Data

Age: 30 years
x-ray

Subperiosteal resorption is most evident on the radial sides of proximal and middle phalanges. Note the shaggy outer cortical surface in the mid-to-distal shaft of the middle finger proximal phalanx.

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