title: Sagliker syndrome: first four cases in Bulgaria.
abstract: Sagliker syndrome characterized with uglifying the appearance of the face due to secondary hyperparathyroidism in patients with chronic renal failure receiving dialysis long time ago. The aim of the study was to identify any patients with Sagliker syndrome among the 78 patients receiving dialysis at the Dialysis ward, University Hospital "St. George", Plovdiv, Bulgaria.
  
  
  RESULTS
  Four patients metthe criteria for Sagliker syndrome: chronic renal insufficiency, secondary hyperparathyroidism, short stature, severe changes in the skull and jaw that lead to festoon-like uglifying face, dental abnormalities, "brown" tumors, deformations of the phalanges of the fingers, psychological diseases and depression.
  
  
  CONCLUSIONS
  The lack of control of the level of calcium and phosphorus in the blood in patients with chronic kidney disease leads to severe bone changes and psychological changes in patients with prolonged dialysis.
authors.forename: R
authors.initials: R
authors.lastname: Cholakova
authors.forename: Petia
authors.initials: P
authors.lastname: Pechalova
authors.forename: E
authors.initials: E
authors.lastname: Kapon
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis*; D000328:Adult; D001847:Bone Diseases / Q000175:diagnosis*; D002031:Bulgaria; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000175:diagnosis*; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D008875:Middle Aged; D010641:Phenotype; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000175:diagnosis* / Q000628:therapy; D013577:Syndrome