School ager with end stage renal disease

Musculoskeletal
Radiograph of secondary hyperparathyroidism with a brown tumor of the fifth metacarpal
AP radiograph of the hand shows a lytic lesion in the fifth metacarpal with coarsening of the trabeculae and periosteal reaction along the radial aspect of the middle phalanges.

The diagnosis was secondary hyperparathyroidism with a brown tumor of the fifth metacarpal.

Published