Case Report of Osteopoikilosis: Sparse Cause of Bone Pain and Mimicker of Metastasis on Radiographs

Introduction: Osteopoikilosis (OPK) is an extremely rare benign condition with autosomal dominant inheritance characterized by sclerosing bony dysplasia with multiple benign enostoses. It is characterized by symmetrically distributed numerous, small, well-defined, homogenous circular or ovoid radiodensities clustered in epiphysis and metaphysis of long bones in periarticular region, and in some cases diffusely present throughout axial and appendicular skeleton. There is no age and sex predilection; age at the time of diagnosis ranges from 15 to 60 years. It is usually asymptomatic but rarely in 15–20% patients slight juxta-articular pain and joint effusions can be seen. These are incidental radiological findings in most of the cases, also sometimes confused as bony metastasis. There are no specific clinical features; histological features are similar to bony island and it may be associated with connective tissue disorders, synovial osteochondromatosis, and a rare bone condition melorheostosis. Case Report: We present a case of OPK in a 32-year-old male with bilateral hip and shoulder pain, based on the available literature and focus on clinical significance, due to its mimicking capability of other more severe conditions such as bone metastases and an extremely uncommon cause of bone pain. Conclusion: OPK is an uncommon hereditary condition involving juxta-articular region of long bones with intricate etiopathogenesis, often discovered incidentally on radiographs. It is characterized by multiple, symmetrical ovoid radiodensities, and in most instances confused with osteoblastic metastasis. This concludes that OPK is a condition that should be kept in mind to avoid misdiagnosis, in particular osteoblastic metastasis and undue distress to both the patients and doctors. Keywords: Osteopoikilosis, melorheostosis, bone metastases

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Targeting G-Protein Signaling for the Therapeutics of Prostate Tumor Bone Metastases and the Associated Chronic Bone Pain

10.21236/ada609444 ◽

2014 ◽

Author(s):

Songhai Chen ◽

Yuanchao Ye

Keyword(s):

Bone Metastases ◽

G Protein ◽

Bone Pain ◽

Prostate Tumor ◽

G Protein Signaling ◽

Protein Signaling

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Removal of a Broken Cannulated Intramedullary Nail: Review of the Literature and a Case Report of a New Technique

Case Reports in Orthopedics ◽

10.1155/2013/461703 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5

Author(s):

Amr A. Abdelgawad ◽

Enes Kanlic

Keyword(s):

Case Report ◽

Intramedullary Nail ◽

Small Diameter ◽

New Technique ◽

Long Bones ◽

Review Of The Literature ◽

Tibial Nail ◽

A New Technique ◽

Nail Removal ◽

Real Challenge

Nonunion of long bones fixed with nails may result in implant failure. Removal of a broken intramedullary nail may be a real challenge. Many methods have been described to allow for removal of the broken piece of the nail. In this paper, we are reviewing the different techniques to extract a broken nail, classifying them into different subsets, and describing a new technique that we used to remove a broken tibial nail with narrow canal. Eight different categories of implant removal methods were described, with different methods within each category. This classification is very comprehensive and was never described before. We described a new technique (hook captured in the medulla by flexible nail introduced from the locking hole) which is a valuable technique in cases of nail of a small diameter where other methods cannot be used because of the narrow canal of the nail. Our eight categories for broken nail removal methods simplify the concepts of nail removal and allow the surgeon to better plan for the removal procedure.

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Young child with painful edema and purpura: a case report

Italian Journal of Pediatrics ◽

10.1186/s13052-021-01001-y ◽

2021 ◽

Vol 47 (1) ◽

Author(s):

Sarah Contorno ◽

Giorgio Cozzi ◽

Irene Berti ◽

Egidio Barbi ◽

Andrea Taddio

Keyword(s):

Differential Diagnosis ◽

Child Abuse ◽

Case Report ◽

Young Child ◽

Sickle Cell ◽

Benign Condition ◽

Sickle Cell Crisis

Abstract Background We reported the case of a two-old-year boy with a painful acute hemorrhagic edema. This is a self-limited benign condition: usually, affected children are well appearing and this strongly support the diagnosis. In the opposite, in our case, we observed a painful presentation of the edema. Therefore, we demonstrated that rarely, this condition could have also a painful presentation. Conclusions This case report helps clinician to know that also acute hemorrhagic edema could have a painful presentation, so we must considered it in the differential diagnosis with sepsis, sickle cell crisis and child abuse. We believe that these findings will be of interest to pediatricians.

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Osteochondroma of the Mandible: A Rare Case Report

Case Reports in Pathology ◽

10.1155/2013/167862 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Donepudi Nanda Kishore ◽

H. R. Shiva Kumar ◽

K. V. Umashankara ◽

Kirthi Kumar Rai

Keyword(s):

Case Report ◽

Rare Case ◽

Long Bones ◽

Rare Case Report

Osteochondroma, also known as osteocartilaginous exostosis is a benign cartilage forming tumor that usually develops in long bones and relatively uncommon in the craniofacial region. Both the condyle and coronoid tip being the most common sites of occurrence in the mandible, it rarely appears at the symphysis region. Here, we describe a case of osteochondroma arising from the left parasymphysis of mandible.

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Unifocal Granuloma of Femur due to Langerhans' Cell Histiocytosis: A Case Report and Review of the Literature

Case Reports in Medicine ◽

10.1155/2010/686031 ◽

2010 ◽

Vol 2010 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Harpreet Singh ◽

Satnam Kaur ◽

P. Yuvarajan ◽

Nishant Jain ◽

Lalit Maini

Keyword(s):

Case Report ◽

Clinical Data ◽

Case History ◽

Langerhans Cell Histiocytosis ◽

Eosinophilic Granuloma ◽

Pediatric Population ◽

Langerhans Cell ◽

Long Bones ◽

Review Of The Literature ◽

Osteolytic Lesions

The radiological diagnosis of osteolytic lesions of the long bones in pediatric population constitutes a challenge when the case history and clinical data are uncharacteristic. We believe that the description of few clinically and histologically proven cases to verify the existence of radiological signs useful for diagnosis may be of interest. Here, we describe a case of Langerhans' cell histiocytosis (LCH) presenting as unifocal eosinophilic granuloma of femur along with a brief review of the literature.

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Open Surgical Hip Dislocation for an Acetabular Osteoid Osteoma - A Case Report

Journal of Surgical Case Reports and Images ◽

10.31579/2690-1897/093 ◽

2022 ◽

Vol 5 (1) ◽

pp. 01-04

Author(s):

Parker J. Prusick ◽

Steven D. Jones ◽

Jesse Roberts ◽

Nathan Donaldson

Keyword(s):

Case Report ◽

Osteoid Osteoma ◽

Proximal Femur ◽

Benign Tumor ◽

Hip Dislocation ◽

Long Bones ◽

Surgical Hip Dislocation ◽

Sclerotic Bone

Osteoid osteoma is a benign tumor that accounts for roughly 10-12% of all benign bone forming tumors. This tumor generally occurs within the first three decades of life and occurs more commonly in males. This lesion is painful and is generally worse at night and has relief of symptoms with the use of NSAIDs. Osteoid osteoma is characterized by the production of osteoid surrounded by a rim of sclerotic bone. These lesions most commonly occur in long bones such as the proximal femur, however they can occur anywhere. Rarely, as with our patient, have these lesions been reported in the acetabulum.

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Penile Mondor’s disease: a case report

Italian Journal of Medicine ◽

10.4081/itjm.2008.4.37 ◽

2013 ◽

pp. 37-39

Author(s):

M. Bolognesi

Keyword(s):

Case Report ◽

Clinical Diagnosis ◽

General Practitioners ◽

Correct Diagnosis ◽

Complete Recovery ◽

Benign Condition ◽

Dorsal Vein ◽

Mondor’S Disease ◽

Mondor's Disease ◽

Appropriate Therapy

CASE REPORT This article describes a case report with a review of the symptomatology diagnosis, and treatment of thrombophlebitis in the superficial dorsal vein of the penis. Penile Mondor’s disease is a benign condition, and after appropriate therapy, near complete recovery takes place within three weeks. DISCUSSION Thrombophlebitis of the superficial dorsal vein of the penis (Penile Mondor’s disease) is a rare, but important clinical diagnosis that any physician, and in particular general practitioners, should be able to recognize. Indeed, correct diagnosis and consequent reassurance can help to control the anxiety typically experienced by patients suffering from the disease.

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Photodistributed sarcoidosis: a case report and approach to management

SAGE Open Medical Case Reports ◽

10.1177/2050313x18796877 ◽

2018 ◽

Vol 6 ◽

pp. 2050313X1879687

Author(s):

Cristina Olteanu ◽

Brandon Worley ◽

Iris Teo ◽

Jillian Macdonald

Keyword(s):

Case Report ◽

Ionizing Radiation ◽

Bone Pain ◽

Prior Exposure ◽

Systemic Involvement ◽

Pruritic Rash ◽

Cutaneous Involvement ◽

Multiple Organs ◽

History Of ◽

Idiopathic Disease

Sarcoidosis is an idiopathic disease, characterized by non-caseating granulomas in multiple organs/tissues. Cutaneous involvement occurs in approximately one-quarter of patients with a wide variety of presenting morphologies. This case report describes a case of photodistributed sarcoidosis, a rare cutaneous variant, with systemic involvement. A 42-year-old man presented with a history of a pruritic, rash with photoexacerbated annular plaques along with arthralgias and bone pain. Compared to previous reports of photodistributed sarcoidosis, our case presented with annular plaques rather than papules, and there was no prior exposure to ionizing radiation. He was treated successfully with prednisone and hydroxychloroquine. It is important to include sarcoidosis in the differential of photodistributed dermatoses.

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