Oral Radiographic Evidence of Secondary Hyperparathyroidism in an End-Stage Renal Failure Patient: A Case Report.

Background: The authors report a case of a 42-year-old woman with End Stage Renal Disease (ESRD) undergoing dialysis therapy with the relative loss of tooth root lamina dura and several mandibular radiolucencies. Secondary hyperparathyroidism related to End Stage Renal Disease may result in the loss of bone density and radiolucent lesions, which has been previously described as Brown tumor. Findings significant for hyperparathyroidism may befound on routine dental imaging.

Results: The patient was evaluated, and treatment was initiated for her dental conditions. She is at present still on the kidney transplant waiting list.

Conclusion: Patients with End Stage Renal Disease and hyperparathyroidism require communication and cooperation between dentists and physicians.

Practical implications: It is important for dentists to consider Brown tumor as a possible diagnosis of radiolucent jaw lesions.