Acro-osteolysis secondary to hyperparathyroidism


There are only three usual differentials for midshaft acro-osteolysis:

The constellation of findings of acro-osteolysis, subperiosteal bone resorption at the radial aspect of the second middle phalanx and calcification at the left arteriovenous fistula is classical of hyperparathyroidism secondary to end-stage renal failure, and is commonly encountered in radiology exams.