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Fig. 1 | BMC Nephrology

Fig. 1

From: Changes to bone mineral density, the trabecular bone score and hip structural analysis following parathyroidectomy: a case report

Fig. 1

a Hand X-ray demonstrating cortical erosion of the radial aspect of the right middle phalanges (X) and loss of distal tuft of the right index finger (Y). b Rugger-Jersey spine with an alternating sclerotic-lucent appearance is characteristic of hyperparathyroidism. Sclerosis occurs towards the vertebral endplates, which are a bilayer of porous, fused trabecular bone, which allows for nutrient transport to the intervertebral disc, and cartilage with horizontally oriented collagen fibres. Linear calcification is visible in the abdominal aorta opposite the L4 vertebra, together with a fleck opposite L3

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