Uremic Leontiasis Ossea an Uncommon Manifestation in End-Stage Renal Disease Secondary to Hyperparathyroidism

Skeletal changes, which are commonly associated with renal osteodystrophy is a frequent outcome for individuals suffering from chronic renal failure. A rare and severe form of renal osteodystrophy known as uremic leontiasis ossea is characterized by the excess growth of the calvarial and facial bones. Evaluation with computed tomography is helpful for the recognition and treatment planning of this uncommon manifestation. We report a case of uremic leontiasis ossea in a 39 year old male who presented with swelling in front of maxilla since one month and history of tooth brush trauma with pus discharge from the upper alveolar region. The diagnosis was established by the clinical history and characteristic radiological imaging features.