PMC4012126_01
(a) Panoramic image illustrating bilateral condylar resorption and flattening. Attenuated antegonial notching seen bilaterally. (b-c) Trascranial radiographs of right and left temporomandibular region showing elongation of condylar surface. Articulating surface of the temporal component appears to be flattened
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F1
Ramus appears short along with deepened antegonial notch bilaterally [Figure 1a]. Articulating surface of the temporal component appears to be flattened [Figure 1b, c].
(a-d) Radiographs of hands and feet showing osteopenia, with fixed flexion deformities at intermediate and distal phalanges. Radiographs of elbow and hip joint revealed joint space appears obliterated. (e) Chest radiograph showing parenchymal abnormality. Spine appeared deviated suggestive of scoliosis
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F2
Radiographs of elbow and hip joint revealed severe osteopenia and joint space appeared to be obliterated [Figure 2a-d]. Spine appeared deviated suggestive of scoliosis [Figure 2e].
(a-c) Dexamethasone Bone Densitometry Scan shows Bone Mass Density is less
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F3