The right answer is b. Hyperparathyroidism. The skull appearance in Sickle cell anemia and thalassemia is hair on end appearance and in multiple myeloma, the skull has rain drops appearance. 

Dr. Sáïshă 

I thought thalassemia was golf balls appearance...

Victor Adeyemi

Golf ball like "inclusions" are seen in Hemoglobin H disease (a type of alpha thalassemia) on "histological examination" . But on radiological examination of a person affected with thalassemia, the skull shows the so called "hair on end appearance". I'll soon share the radiology part on my profile. Thank you for sharing your thoughts! 😊

Pepper pot skull or salt and pepper skull is a striking feature of which condition? 💀 
A. Sickle cell anemia
B. Hyperparathyroidism
C. Multiple myeloma
D. Thalassemia 

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