RESUMEN
INTRODUCTION: Miliary osteoma cutis (MOC) is a cutaneous disorder that develops in response to an ill-defined process or following acne vulgaris. Most cases present incidentally as small radiographic aggregations of normal bone within the cheeks. Infrequently, MOC has been reported with systemic disease, including renal failure. CASE PRESENTATION: An 82-year-old man presented with renal failure and secondary hyperparathyroidism. Intraoral radiographs displayed bilateral radiopacities. This is the first documented case of MOC synchronous with renal failure and secondary hyperparathyroidism in a geriatric patient. CONCLUSIONS: Patients with MOC and manifestations associated with nephropathy should undergo a comprehensive medical work-up and laboratory studies. Timely recognition of incidental radiographic findings may improve clinical outcomes.