{"id":7523,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/uremic-leontiasis-ossea\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"uremic-leontiasis-ossea","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/sw\/uremic-leontiasis-ossea\/","title":{"rendered":"Uremic leontiasis ossea"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/uremic-leontiasis-ossea.jpg\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<p id=\"p-1\">Mwanamume mwenye umri wa miaka 40 aliwasilisha historia ya miaka 5 ya mabadiliko ya usoni na ugumu wa kutafuna. Alikuwa na historia ya ugonjwa sugu wa figo na akawa mtegemezi wa dialysis akiwa na umri wa miaka 17. Alipochunguzwa, taya ya juu iliyochomoza ilionekana. Kiwango chake cha homoni ya paradundumio isiyobadilika kilizidi 2500 pg\/mL (anuwai ya marejeleo: 15.6\u201368.3). CT ya uso ilionyesha unene wa mfupa wa fuvu, ... <\/p>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e37?rss=1\">Chanzo cha matibabu cha kila siku<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Mwanamume mwenye umri wa miaka 40 aliwasilisha historia ya miaka 5 ya mabadiliko ya usoni na ugumu wa kutafuna. Alikuwa na historia ya ugonjwa sugu wa figo na akawa tegemezi wa dayalisisi akiwa na umri wa miaka 17. Alipochunguzwa, taya ya juu iliyochomoza ilionekana. Kiwango chake cha homoni ya paradundumio isiyobadilika kilizidi 2500 pg\/mL (anuwai ya marejeleo: 15.6\u201368.3). CT ya uso ilionyesha unene wa mfupa wa fuvu, na ukuaji mkubwa wa maxilla na mandible (<cross-ref type=\"fig\" refid=\"F1\">takwimu 1A,B<\/cross-ref>) Kuonekana kwa chumvi na pilipili kulionekana kwenye calvaria (<cross-ref type=\"fig\" refid=\"F1\">takwimu 1B<\/cross-ref>, mshale). Matokeo haya yalikuwa sawa na uremic leontiasis ossea, aina adimu na kali ya osteodystrophy ya figo kutokana na hyperparathyroidism.<cross-ref type=\"bib\" refid=\"R1\">1<\/cross-ref><\/p>\n<p>Leontiasis ossea\u2014pia inajulikana kama uso wa simba\u2014husababisha si tu kuharibika kwa umbo la mgonjwa, lakini pia upanuzi wa mifupa unaweza kubana sehemu za uso zilizo karibu, kama vile matundu ya pua na mdomo, na kusababisha kuziba kwa njia ya hewa, dysarthria na dysphagia.<cross-ref type=\"fig\" refid=\"F1\">takwimu 1C<\/cross-ref>,&#8230;<\/p>","protected":false},"author":2,"featured_media":7524,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/uremic-leontiasis-ossea.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7523","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Uremic leontiasis ossea - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/sw\/uremic-leontiasis-ossea\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Uremic leontiasis ossea - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"A 40-year-old man presented with a 5-year history of progressive facial changes and difficulty chewing. He had a history of chronic kidney disease and became dialysis dependent at the age of 17. On examination, protruding upper jaw with malocclusion was observed. His intact parathyroid hormone level exceeded 2500 pg\/mL (reference range: 15.6&ndash;68.3). CT of the face showed cranial bone thickening, and overgrowth of the maxilla and mandible (figure 1A,B). Salt and pepper appearance was seen in the calvaria (figure 1B, arrow). These findings were consistent with uremic leontiasis ossea, a rare and severe form of renal osteodystrophy due to hyperparathyroidism.1 Leontiasis ossea&mdash;also known as lion face&mdash;results in not only disfigurement of the patient, but also the bony expansion may also compress the nearby facial structures, such as the nasal and oral cavity, leading to airway obstruction, dysarthria and dysphagia (figure 1C,...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/sw\/uremic-leontiasis-ossea\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/uremic-leontiasis-ossea.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/uremic-leontiasis-ossea\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/uremic-leontiasis-ossea\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Uremic leontiasis ossea\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/uremic-leontiasis-ossea\\\/\"},\"wordCount\":64,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/uremic-leontiasis-ossea\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/uremic-leontiasis-ossea.jpg\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"sw\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/uremic-leontiasis-ossea\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/uremic-leontiasis-ossea\\\/\",\"name\":\"Uremic leontiasis ossea - 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He had a history of chronic kidney disease and became dialysis dependent at the age of 17. On examination, protruding upper jaw with malocclusion was observed. His intact parathyroid hormone level exceeded 2500 pg\/mL (reference range: 15.6&ndash;68.3). CT of the face showed cranial bone thickening, and overgrowth of the maxilla and mandible (figure 1A,B). Salt and pepper appearance was seen in the calvaria (figure 1B, arrow). 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