http://radiopaedia.org/cases/cactus-disease-paleo-induced-mineral-periostitis
Cactus disease (paleo-induced mineral periostitis)
Paleo-induced mineral periostitis (PiMP) is a recently recognised disease attributed to the so-called “paleo diet”. It most frequently involves the metacarpals and phalanges producing perpendicular periosteal projections (“spines”), an appearance that has lead to the alternative name of “cactus disease”. In severe cases the spines can tent the skin and present clinically, although the majority of cases are only detected radiographically after patients complain of hand pain.


Cactus disease (paleo-induced mineral periostitis)
Paleo-induced mineral periostitis (PiMP) is a recently recognised disease attributed to the so-called “paleo diet”. It most frequently involves the metacarpals and phalanges producing perpendicular periosteal projections (“spines”), an appearance that has lead to the alternative name of “cactus disease”. In severe cases the spines can tent the skin and present clinically, although the majority of cases are only detected radiographically after patients complain of hand pain.


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