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Renal osteodystrophy of the skull vault

Case contributed by Chris O'Donnell
Diagnosis probable

Presentation

Head injury. On dialysis long term.

Patient Data

Age: 70 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Subtle but definite widespread lytic change throughout the skull vault.

Case Discussion

Appearances are known as a "pepper pot" skull and are due to the effects of elevated parathyroid hormone causing widespread osteoclastic activity in an attempt to clear phosphate from the blood.

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