Special Article - Nephrology & Dialysis
Austin J Nephrol Hypertens. 2014;1(3): 1013.
Skull Patchy Shadows of Uremia Patient
Mingxia Xiong, Yang Zhou, Bing Tang, Gong Chen and Junwei Yang*
Center for Kidney Disease, Nanjing Medical University, China
*Corresponding author: Junwei Yang, Center for Kidney Disease, 2nd Affiliated Hospital, Nanjing Medical University, 262 North Zhongshan Road, Nanjing, Jiangsu 210003, China
Received: September 05, 2014; Accepted: September 09, 2014; Published: September 11, 2014
Case Description and Question
A 35-year-old male patient came to hospital with the complaint of systemic bone pain for four years. He has a history of uremia and has undergone hemodialysis three times a week for more than eight years. He has endured systemic bone pain, refractory skin pruritus, height shorten and bone fracture since 2010. What is the diagnosis?
Image Description and Answer
Skull X-ray showed multiple patchy dense shadows; structures of inner and outer plates and diploe were obscure. His serum intact parathyroid hormone (iPTH) was up to 3272.0pg/ml. Serum calcium and phosphorus was 2.22mmol/L and 1.53mmol/L, respectively. He was diagnosed of secondary hyperthyroidism, uremia and renal osteodystrophy.
Figure 1:
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