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Images in Clinical Medicine
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Volume 345:e1 August 2, 2001 Number 5
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A Hair-on-End Skull

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 by Campion, E. W.

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Figure 1. A 24-year-old man with thalassemia major was seen for joint pain without swelling in both ankles and hands. He had received a total of 37 transfusions. He had a fetal hemoglobin value of 94 percent and an A2 hemoglobin value of 1 percent; his father had a high percentage of A2 hemoglobin, and his mother a high percentage of fetal hemoglobin and a normal A2 hemoglobin value. A lateral film of the skull (Panel A) showed generalized osteopenia, widening of the diploetic space (arrows), and thinning of the outer table. The characteristic "hair-on-end" appearance of the outer table spares the . . . [Full Text of this Article]

 

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