Beruflich Dokumente
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El Kilani
Parathyroid function:
Parathyroid hormone
preserves blood
calcium by several
major effects:
Enhancing absorption
of calcium from the
small intestine
Suppression of calcium
loss in urine
Mobilization of calcium
from bone.
Naglaa S.El kilani
Clinical Features
Women are two to three times more
commonly affected.
Age incidence :30 to 60 years of age.
Most patients have renal calculi
Peptic ulcers, psychiatric problems.
Bone and joint pain.
Hypercalcemia.
Naglaa S.El kilani
stippled pattern .
Localized radiolucent cyst-like giant cell lesions
(Osteitis fibrosa cystica ).
Brown tumors occur late in the disease and in
about 10% of cases.
Pathologic calcifications in soft tissues in the
kidneys and joints.
The entire calvarium has a granular appearance
Naglaa S.El kilani
Radiographic Features
In infants:
Early eruption of the primary teeth
Premature loss.
In adults :
A generalized decrease in bone density.
Clinical Features
Radiographic Features
Generalized osteoporosis, a granular bone
pattern.
Pathologic fractures.
The skull can show diffuse thinning with a
mottled appearance.
Premature eruption of teeth.
Partial loss of the lamina dura may occur.
Naglaa S.El kilani
Secondary osteoporosis:
Nutritional deficiencies
Hormonal imbalance
Inactivity
Corticosteroid
Heparin therapy.
Clinical Features
Postmenopausal women.
Fracture.
The most common locations are the distal
radius, proximal femur, ribs, and vertebrae.
Bone pain.
Radiographic Features
An overall reduction in the density of bone.
Thinning of cortical boundaries such as the
inferior mandibular cortex.
Accurate assessment of bone mass loss is
difficult but may be done with dual energy
photon absorption (DEXA) or quantitative
computed tomography (QCT) programs.
Naglaa S.El kilani
Clinical Features
Rickets:
In the first 6 months of life:
Tetany or convulsions resulting from the
hypocalcemia of rickets.
Later in infancy:
Deformity of the extremities.
Delayed development of the dentition
Retarded eruption rate of the teeth.
Naglaa S.El kilani
Osteomalacia:
Bone pain.
Muscle weakness of varying severity.
Peculiar waddling or "penguin" gait,
Tetany
Bone fractures.
Radiographic Features
General radiographic features:
In rickets:
A characteristic bowing of the femur and tibia.
Greenstick fractures (an incomplete fracture).
In osteomalacia:
T he cortex of bone may be thin.
Pseudofractures may also be present
Naglaa S.El kilani
Clinical Features
Progressive loss of the bone marrow .
A severe increase in bone density.
Hydrocephalus
Blindness, deafness, vestibular nerve
dysfunction, and facial nerve paralysis.
Bone pain .
Osteomyelitis that is more common in the
mandible.
Naglaa S.El kilani
Radiographic Features
General radiographic features:
Increased bones density, which is bilaterally
symmetric.
The trabecular patterns of the medullary cavity
may not be visible.
Radiographic features of the jaws:
The increased radiopacity of the jaws so that
even the roots of the teeth may not be
apparent.
Naglaa S.El kilani
Thalassaemia (Cooley's
anaemia)
Hereditary ,chronic
haemolytic anaemia
affects principally
black populations
Thalassaemia (Cooley's
anaemia
Thalassaemia
Naglaa S.El kilani