Leontiasis ossea; a rare presentation of secondary hyperparathyroidism

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RAFFIEI JELODAR HODA; Yarmohamadi Maliheh; Baghai Wadji Massoud; BABAEI MOHAMMAD REZA

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Journal Paper

Paper Information

Journal: JOURNAL OF RENAL INJURY PREVENTION Year:2018 | Volume:7 | Issue:4 Page(s): 321-323

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Title

Leontiasis ossea; a rare presentation of secondary hyperparathyroidism

Author(s)

RAFFIEI JELODAR HODA | Yarmohamadi Maliheh | Baghai Wadji Massoud | BABAEI MOHAMMAD REZA | Issue Writer Certificate

Keywords

Renal osteodystrophy

Leontiasis ossea

Hyperparathyroidism

Intact parathyroid hormone

chronic kidney disease

Abstract

Leontiasis ossea is a rare presentation of Renal osteodystrophy with few reports in literature. It causes severe skeletal deformity in the cranial bones. This study presents a report on a patient with advanced Hyperparathyroidism with skeletal changes compatible with Leontiasis ossea. The patient was a 34-year-old man with end-stage renal disease, uncontrolled hypertension, and dyspnea who was referred to our hospital. Physical examinations revealed: toggled speech (nasal speech), mouth breathing and facial change, saddle nose, nares widening, increased interdental space and mandibular enlargement. His serum Intact parathyroid hormone (iPTH) level was 3199 pg/mL, Paranasal sinuses CT scan showed a significant expansion of the mandibular, maxillary and skull bones. Parathyroid sonography reported two severe hypertrophied parathyroid glands. The patient underwent total parathyroidectomy as a result of symptomatic bone involvement.

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APA: Copy

RAFFIEI JELODAR, HODA, Yarmohamadi, Maliheh, Baghai Wadji, Massoud, & BABAEI, MOHAMMAD REZA. (2018). Leontiasis ossea; a rare presentation of secondary hyperparathyroidism. JOURNAL OF RENAL INJURY PREVENTION, 7(4), 321-323. SID. https://sid.ir/paper/758985/en

Vancouver: Copy

RAFFIEI JELODAR HODA, Yarmohamadi Maliheh, Baghai Wadji Massoud, BABAEI MOHAMMAD REZA. Leontiasis ossea; a rare presentation of secondary hyperparathyroidism. JOURNAL OF RENAL INJURY PREVENTION[Internet]. 2018;7(4):321-323. Available from: https://sid.ir/paper/758985/en

IEEE: Copy

HODA RAFFIEI JELODAR, Maliheh Yarmohamadi, Massoud Baghai Wadji, and MOHAMMAD REZA BABAEI, “Leontiasis ossea; a rare presentation of secondary hyperparathyroidism,” JOURNAL OF RENAL INJURY PREVENTION, vol. 7, no. 4, pp. 321–323, 2018, [Online]. Available: https://sid.ir/paper/758985/en

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