Renal osteodystrophy and brown tumors

Discussion:

Renal osteodystrophy is a constellation of musculoskeletal abnormalities that occur in patients with chronic renal failure.

Manifestations include:

  • osteomalacia (adults) / rickets (children)
  • secondary hyperparathyroidism: bone resorption, osteosclerosis, soft tissue & vascular calcifications and brown tumors
  • aluminum intoxication if the patient is on dialysis

Comment:
Subperiosteal bone resorption is the hallmark of HPTH and is first identified in hands.

Credit:
Dr Ahmed Haroun

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