“Hair-on-end” pattern in the skull
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GAMUT “Hair-On-End” Pattern in the Skull By Diane Daly GENERALIZED Common 1. Congential hemolytic anemia (including thalassemia, sickle cell disease, spherocyto- sis, elliptocytosis) Uncommon 1. Congential cyanotic heart diseasewith sec- ondary polycythemia 2. Hypernephroma with increased erythro- poiesis 3. Iron deficiency anemia, severe 4. Leukemia, lymphoma From the Department of Radiology, University Hospital, Cincinnati. Diane Daly: Resident in Radiology. Address reprint requests to Diane D. Daly, MD. Depart- ment of Radiology, University Hospital, 234 Goodman St. Cincinnati, OH 45267. Uncommon 1. Ewing’s sarcoma 2. Hemangioma 3. Osteosarcoma REFERENCES o 1987 by Grune & Stratton, Inc. 1. Greenfield GB: Radiology of Bone Diseases (ed 4). 0037-l 98X/87/2203-0002$05.00/0 Philadelphia: Lippincott, 1986;104 5. Multiple myeloma 6. Polycythemia vera 7. Red cell enzyme deficiency with secondary reticulocytosis (eg, pyruvate kinase, hexo- kinase, glucose-6-phosphate dehydroge- nase) LOCALIZED Common 1. Meningioma 2. Metastases (especially neuroblastoma, prostate, breast) Fig 1. Generalized “hair-on- end” pattern in a 7-year-old child with thalassemia major. Widened diploic space and atrophy of the outer table with perpendicular spicules of spongiosa trabeculae are caused by pressure erosion of the smaller trabeculae by the expanding marrow. 144 Seminars in Roentgenology, Vol XXII, No 3 (July), 1987: pp 144-145
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Transcript of “Hair-on-end” pattern in the skull
GAMUT
“Hair-On-End” Pattern in the Skull
By Diane Daly
GENERALIZED
Common 1. Congential hemolytic anemia (including
thalassemia, sickle cell disease, spherocyto- sis, elliptocytosis)
Uncommon 1. Congential cyanotic heart disease with sec-
ondary polycythemia 2. Hypernephroma with increased erythro-
poiesis 3. Iron deficiency anemia, severe 4. Leukemia, lymphoma
From the Department of Radiology, University Hospital, Cincinnati.
Diane Daly: Resident in Radiology. Address reprint requests to Diane D. Daly, MD. Depart-
ment of Radiology, University Hospital, 234 Goodman St. Cincinnati, OH 45267.
Uncommon 1. Ewing’s sarcoma 2. Hemangioma 3. Osteosarcoma
REFERENCES
o 1987 by Grune & Stratton, Inc. 1. Greenfield GB: Radiology of Bone Diseases (ed 4). 0037-l 98X/87/2203-0002$05.00/0 Philadelphia: Lippincott, 1986;104
5. Multiple myeloma 6. Polycythemia vera 7. Red cell enzyme deficiency with secondary
reticulocytosis (eg, pyruvate kinase, hexo- kinase, glucose-6-phosphate dehydroge- nase)
LOCALIZED
Common 1. Meningioma 2. Metastases (especially neuroblastoma,
prostate, breast)
Fig 1. Generalized “hair-on- end” pattern in a 7-year-old child with thalassemia major. Widened diploic space and atrophy of the outer table with perpendicular spicules of spongiosa trabeculae are caused by pressure erosion of the smaller trabeculae by the expanding marrow.
144 Seminars in Roentgenology, Vol XXII, No 3 (July), 1987: pp 144-145
“HAIR-ON-END” PAlTERN IN THE SKULL 145
Fig 2. “Hair-on-end” appearance in adult I vale with meningioma.
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2. KBhler A, Zimmer EA: Borderlands of the Normal and Early Pathologic in Skeletal Radiology. Orlando, FL: Grune & Stratton, 1968;202
3. Silverman FN: Caffey’s Pediatric X-ray Diagnosis (ed 8). Chicago: Year Book Medical, 1985;79-85
4. Swischuk LE: Differential Diagnosis in Pediatric Radi- ology. Baltimore: Williams and Wilkins, 1984:341-343
5. Wintrobe MM, Thorn GW, Adams RD, et al: Harri- son’s Principles of Internal Medicine (ed 7). New York: McGraw-Hill, 1974;1602-1613
