Clinical features of ten cases of osteopoikilosis

A retrospective study was carried out of the ten cases of osteopoikilosis seen at this Orthopedic Unit over a 15-year period in order to determine the reasons why patients seek consultation, preliminary diagnosis, and associated lesions. Eight patients consulted for problems not related to the locom...

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Bibliographic Details
Published inClinical rheumatology Vol. 23; no. 6; pp. 505 - 508
Main Authors Carpintero, P, Abad, J A, Serrano, P, Serrano, J A, Rodríguez, P, Castro, L
Format Journal Article
LanguageEnglish
Published Germany Springer Nature B.V 01.12.2004
Subjects
Adult
Aged
Female
Humans
Incidence
Male
Middle Aged
Osteopoikilosis - diagnostic imaging
Osteopoikilosis - epidemiology
Patient Acceptance of Health Care
Radiography
Retrospective Studies
Spain - epidemiology
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Summary:A retrospective study was carried out of the ten cases of osteopoikilosis seen at this Orthopedic Unit over a 15-year period in order to determine the reasons why patients seek consultation, preliminary diagnosis, and associated lesions. Eight patients consulted for problems not related to the locomotor apparatus, and diagnosis was by chance; the other two presented joint pain. The preliminary diagnosis was osteoblastic metastasis in five patients and osteopoikilosis in the other five. None of the patients displayed skin or visceral involvement, but three presented bone alterations. Definitive diagnosis was made by measurement of biochemical markers of bone remodeling, radiography of both hands, and bone scan. Bone biopsy was performed in one case. Although rare, the radiographic symptoms of osteopoikilosis are sufficiently specific to avoid false diagnoses, which may give rise to rigorous and expensive studies for other important disorders.
Bibliography:ObjectType-Article-1
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ISSN:0770-3198
1434-9949
DOI:10.1007/s10067-004-0935-2