2020
DOI: 10.7759/cureus.11060
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Uremic Leontiasis Ossea in a Patient With End-Stage Renal Disease in Hemodialysis

Abstract: Uremic leontiasis ossea is a rare condition, reported in patients with severe renal disease. Patients present with progressive enlargement of facial bones-in particular, the maxillary and mandibular bones. Rarity of this condition leaves clinicians puzzled on initial evaluation and management. Herein, we present a 31year-old man diagnosed with uremic leontiasis ossea. The report aims to review the pathophysiology of the condition as described in the literature, the patient presentation and imaging modalities u… Show more

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“…ULO is a rare condition that occurs as a complication of hyperparathyroidism in patients with ESKD, particularly in patients with poor adherence to hemodialysis [ 6 ]. ULO can be clinically identified by its characteristic lion-like jaw enlargement, widening of the nares, flattening of the nasal bridge, and increased interdental spacing [ 7 ].…”
Section: Discussionmentioning
confidence: 99%
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“…ULO is a rare condition that occurs as a complication of hyperparathyroidism in patients with ESKD, particularly in patients with poor adherence to hemodialysis [ 6 ]. ULO can be clinically identified by its characteristic lion-like jaw enlargement, widening of the nares, flattening of the nasal bridge, and increased interdental spacing [ 7 ].…”
Section: Discussionmentioning
confidence: 99%
“…The first clinical feature to appear might not necessarily be the classic and extremely apparent change in facial features, as was the case with our patient. In contrast, it can be a mere complaint of facial swelling, which might be accompanied only by jaw pain [ 6 ].…”
Section: Discussionmentioning
confidence: 99%
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