Asunto(s)
Acetábulo , Cabeza Femoral , Osteopoiquilosis , Tomografía Computarizada por Rayos X/métodos , Acetábulo/diagnóstico por imagen , Acetábulo/patología , Adulto , Calcinosis/diagnóstico , Calcinosis/fisiopatología , Diagnóstico Diferencial , Cabeza Femoral/diagnóstico por imagen , Cabeza Femoral/patología , Humanos , Masculino , Osteopoiquilosis/diagnóstico , Osteopoiquilosis/fisiopatología , Manejo de Atención al PacienteRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Osteopoiquilosis/diagnóstico por imagen , Fracturas del Radio/diagnóstico por imagen , Procedimientos Ortopédicos/métodos , Osteopoiquilosis/etiología , Osteopoiquilosis/fisiopatología , Muñeca/diagnóstico por imagen , Muñeca/patología , Mano/diagnóstico por imagen , Mano/patología , Fracturas del Radio/patología , Diagnóstico DiferencialRESUMEN
Osteopoikilosis (OPK) is a rare, benign, and asymptomatic bone dysplasia that is developed during childhood and persists throughout life. This condition is generally found incidentally on plain radiographies made by other reasons. The main differential diagnosis is osteoblastic metastasis. So, OPK must be in differential diagnosis when bone lesions are identified on plain radiograph to avoid alarming the patient with more serious disease and misdiagnosis. In this paper, we review the clinical manifestation, pathophysiology, diagnosis, and treatment of OPK.
Asunto(s)
Analgésicos/uso terapéutico , Osteopoiquilosis/diagnóstico , Osteopoiquilosis/tratamiento farmacológico , Adulto , Humanos , Masculino , Osteopoiquilosis/fisiopatologíaRESUMEN
Osteopoikilosis is a sclerosing bone dysplasia, characterized by multiple oval spots of radiodensities within the trabecular bone. It occurs equally common among men and women. Prevalence is estimated to be as high as 1:50,000. Most reported cases have been found incidentally on roentgenograms taken for other purposes. We present a 58-year-old woman with OPK associated with fibromyalgia and active myofascial trigger point in upper trapezius muscles.
Asunto(s)
Fibromialgia/fisiopatología , Músculo Esquelético/fisiopatología , Síndromes del Dolor Miofascial/fisiopatología , Osteopoiquilosis/fisiopatología , Puntos Disparadores/fisiopatología , Femenino , Fibromialgia/complicaciones , Humanos , Persona de Mediana Edad , Síndromes del Dolor Miofascial/complicaciones , Osteopoiquilosis/complicacionesAsunto(s)
Humanos , Masculino , Femenino , Osteopoiquilosis/diagnóstico , Osteopoiquilosis/fisiopatología , Radiografía , Artralgia , AsteniaRESUMEN
Enostoses, osteomas, osteopoikilosis, osteopathia striata, and melorheostosis may simulate other diseases. However, the findings on imaging usually are characteristic enough to indicate the correct diagnosis.
Asunto(s)
Osteopoiquilosis/diagnóstico por imagen , Osteosclerosis/diagnóstico , Adulto , Diagnóstico Diferencial , Femenino , Humanos , Melorreostosis/diagnóstico , Osteoma/diagnóstico , Osteopoiquilosis/fisiopatología , Osteosclerosis/fisiopatología , RadiografíaRESUMEN
We describe a three-generation family with clinical and radiological findings of osteopoikilosis in five and melorheostosis in one individual. The co-occurrence of both rare bone disorders suggests that both conditions might be related as suggested previously by Butkus et al. [1997: Am J Med Genet 72:43-46] and Nevin et al. [1999: Am J Med Genet 82:409-414]. The findings in this family strengthen the hypothesis that osteopoikilosis is an autosomal dominant condition and that an early postzygotic second hit mutation in the second allele results in melorheostosis.
Asunto(s)
Genes Dominantes , Melorreostosis/genética , Osteopoiquilosis/genética , Niño , Preescolar , Femenino , Humanos , Recién Nacido , Masculino , Melorreostosis/fisiopatología , Osteopoiquilosis/fisiopatología , LinajeRESUMEN
In the case of combination of osteopoikilosis with dermal alterations we wanted to know if the hereby discussed general mesenchymal lesions are the cause of the additional entrapment syndromes of peripheral nerves present in our case. For this purpose we recorded the pressure at the distal median and ulnar nerves within and out of the entrapment location. The results of the pressure recording of not point to a primary nerve lesion by a elevated pressure susceptibility or a pressure elevation at the peripheral nerve out of a defined entrapment location e.g. by an increase of connective tissue. Because of a hypertrophic scar formation in this case it should be paid attention to the wound healing of all patients with osteopoikilosis. The histologically verified nevoid mesenchymal alterations of the connective tissue found in this case, are to be delineated from the disseminated lenticular dermatofibrosis of the Buschke-Ollendorff syndrome.