“…The appendicular skeleton x-ray disclosed generalized periosteal and cortical thickening of long bones, which was more marked in the femur and tibia (Figure 3), bilaterally, also affecting the metacarpals and phalanges of both hands. The radiographic findings in PDP usually consist of soft tissue enlargement and acroosteolysis of distal phalanges and periostosis in long bones, which is more prominent in the distal part of lower limbs 17,18 .…”