Roentgenograms of both hands showed generalised osteopenia, widening of epiphysis, irregular metaphyseal surface, erosion of diaphysis of ulnar bones and delayed bone age, which was corresponding to 11.5 years. Her condition then rapidlyprogressed to the ESRF. One month later, she underwent pre-emptive cadaveric renal transplant. However, she developed post-transplant diabetes mellitus.