Rugger Jersey spine occur in renal osteodystrophy?
See the other findings as well. There is pancytopenia and hepatosplenomegaly. These are seen in osteopetrosis specifically the autosomal recessive type. And rugger jersey is seen in both.
Hearing loss is catch here!!
Hearing loss also seen in paget’s ( with skull involvement that lead to narrowing of the auditory foramen)
Diagnosis is made based on a thorough evaluation of serum labs, clinical features ,and radiographic findings
Renal osteodystrophy presentation
Symptom
Weakness
Bone pain
Pathological fracture
Commonest complication
Skeletal deformity
Symptoms of hypocalcemia
Abdominal pain
Muscle cramps
Dyspnea
Convulsions /seizures
Mental status changes
Serum labs
Pancytopenia ( due to bone marrow encroachment)
Physical exam
Hepatosplenomegaly ( due to compensatory extramedullary hematopoeisis)
Cranial nerve palsies ( optic > auditory > trigeminal > facial) due to overgrowth of skull foramina
Autosomal recessive forms are frequently symptomatic
Hence, osteopetrosis