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OCR: pepper Fig. 23.62 Primary hyperparathyroidism sical pot' skull This lateral film shows the cla changes in the skull vault of primary hyperparathyroidism. Generalised skele orotic demineralisation is reflected by diffuse p lar or mottling of the calvarium giving a gran oves are lamina pepper pot' appearance. The vascular gr poorly defined and there is absence of th s, however,dura of the teeth. The latter appearance not specific because it may occur in othe rosis and dimineralising disorders such as osteop jary osteomalacia. In some patients with prir may be hyperparathyroidism the dorsum sellae eroded and in those with polyglandular tumour adenomatosis and an associated pituitar y fossa. there may be enlargement of the pituita See also: . Primary Hyperparathyroidism