A Case Report of Osteopoikilosis in the ribs, pelvic region and spine
Osteopoikilosisis a rare inherited benign bone dysplasia incidentally found on radiological exams. It ischaracterized by a specific radiological pattern which consists in diffuse, round or oval, symmetrically shaped sclerotic bone areas distributed throughout the skeleton. It is important to do a correct diagnosis because these lesions could be easily confused with bone metastasis. We reported a case of an osteopoikilosis patient presenting to our clinic with transient loss of consciousness and without any numbness, tingling and weakness in the legs or other parts of the body. The CT scan showed multiple small sclerotic foci bone islands, scattered throughout the thoracic and lumbar spine, ribs, pelvic bone, sacrum and bilateral proximal femur. No significant increase in the activity was detected in Technetium-99m (Tc-99m) whole body bone scintigraphy. The patient was diagnosed with characteristic radiological findings of osteopoikilosis and was followed up.