case_images: PMC5721960_01
case_images: X-ray of the right lower extremity. Diffusely decreased osseous mineralization. There is a comminuted distal femoral fracture (arrow).
case_images: 10.1177_2050313X17744983-fig1.jpg
case_images: PMC5721960_01_10.1177_2050313X17744983-fig1.jpg
case_images: fig1-2050313X17744983
case_images: X-ray of the right lower extremity showed diffusely decreased osseous mineralization and a comminuted distal femoral fracture (Figure 1).
case_images: X-ray of the (a) left shoulder, (b) elbow, and (c) right hand. Marked diffuse demineralization with findings concerning for possible fracture of the distal phalanx of the index finger just proximal to the subungual tuft versus aggressive erosion at this site (arrow).
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case_images: Similarly, X-ray of the left upper extremity revealed significant diffuse osteopenia, and X-ray of the right hand showed findings concerning for possible fracture of the distal phalanx of the index finger just proximal to the subungual tuft versus aggressive erosion at this site was reported for the right hand (Figure 2).
case_images: CT scan of the pelvis showing diffuse severe demineralization of the bones with florid changes of secondary hyperparathyroidism from renal osteodystrophy. Prominent subligamentous resorption in the sacroiliac joints bilaterally and widened joint space (arrow) and widespread brown tumors (chevrons).
case_images: 10.1177_2050313X17744983-fig3.jpg
case_images: PMC5721960_01_10.1177_2050313X17744983-fig3.jpg
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case_images: Computed tomography (CT) scan of the abdomen and pelvis showed remarkable diffuse severe demineralization of the bones, with florid changes of renal osteodystrophy, prominent subligamentous resorption in the sacroiliac joints bilaterally, and widespread brown tumors (Figure 3).