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Hyperparathyroidism - musculoskeletal manifestations in the hands

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Witheld.

Patient Data

Age: 50 years
Gender: Female

Generalized osteopenia, erosion of the terminal phalangeal tufts (acro-osteolysis) and subperiosteal resorption of bone particularly the radial aspects of the 2nd and 3rd middle phalanges.

Zoomed images of the findings in the prior x-ray:

  • generalized osteopaenia
  • subperiosteal bone resorption
  • acro-osteolysis

Case Discussion

These findings are consistent with hyperparathyroidism which was confirmed.

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