case_images: PMC6734544_01
case_images: Facial morphology changes. Panels A and B are current photographs, whereas panel C is from 10 years earlier at start of dialysis.
case_images: CNCS-7-054-01.jpg
case_images: PMC6734544_01_CNCS-7-054-01.jpg
case_images: Figure1
case_images: In 2017, 4 years after resumption of HD, she noted jaw enlargement, tenderness and a change in facial features (Figure 1).
case_images: CT scan of the facial bones. The facial bones were enlarged, heterogeneous, sclerotic, and with some lytic areas, as well as bony expansion and tumefaction affecting most prominently the mandibular (left image) and maxillary areas, extending into the hard palate (right image).
case_images: CNCS-7-054-02.jpg
case_images: PMC6734544_01_CNCS-7-054-02.jpg
case_images: Figure2
case_images: A CT scan of the head and sinuses done at the time of symptom recurrence showed abnormality of all the bony structures (Figure 2).