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Facial morphology changes. Panels A and B are current photographs, whereas panel C is from 10 years earlier at start of dialysis.
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Figure1
In 2017, 4 years after resumption of HD, she noted jaw enlargement, tenderness and a change in facial features (Figure 1).
CT scan of the facial bones. The facial bones were enlarged, heterogeneous, sclerotic, and with some lytic areas, as well as bony expansion and tumefaction affecting most prominently the mandibular (left image) and maxillary areas, extending into the hard palate (right image).
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Figure2
A CT scan of the head and sinuses done at the time of symptom recurrence showed abnormality of all the bony structures (Figure 2).