case_images: PMC10852203_01
case_images: Unique facial features include maxillary and mandibular overgrowth, malocclusion of the upper and lower jaws, irregularly wide-spaced teeth, and puffy tongue
case_images: cureus-0016-00000051956-i01.jpg
case_images: PMC10852203_01_cureus-0016-00000051956-i01.jpg
case_images: FIG1
case_images: The patient noticed significant progressive changes in his facial appearance over the last ten years, including bilateral symmetrical maxillary and mandibular protrusion, depressed nasal bridge, irregularly wide-spaced teeth, and a puffy tongue (Figure 1).
case_images: Upward curved fingertips
case_images: cureus-0016-00000051956-i02.jpg
case_images: PMC10852203_01_cureus-0016-00000051956-i02.jpg
case_images: FIG2
case_images: His fingertips became curved upward as well (Figure 2).
case_images: Open reduction and internal fixation (ORIF)
case_images: cureus-0016-00000051956-i03.jpg
case_images: PMC10852203_01_cureus-0016-00000051956-i03.jpg
case_images: FIG3
case_images: Also, he mentioned a history of recurrent fractures in his extremities with minor trauma that required surgical fixation, caused by multiple osteitis fibrosa cystica secondary to severe hyperparathyroidism (Figure 3 and Figure 4).
case_images: Multiple osteitis fibrosa cystica
case_images: cureus-0016-00000051956-i04.jpg
case_images: PMC10852203_01_cureus-0016-00000051956-i04.jpg
case_images: FIG4
case_images: Also, he mentioned a history of recurrent fractures in his extremities with minor trauma that required surgical fixation, caused by multiple osteitis fibrosa cystica secondary to severe hyperparathyroidism (Figure 3 and Figure 4).