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33FSkin patches
3
33FSkin patches
2
33FSkin patches
1
33FSkin patches
• McCune Albright
13MBone Age - ESRD
2
13MBone Age - ESRD
1 year later
1
• Healing rickets distal ulna
25M
1
25M
• Osteopoikilosis • Benign sclerosing bone dysplasia• Melorrheostosis• Osteopathiastriata
35MChronic illness
6
35MChronic illness
5
35MChronic illness
4
35MChronic illness
3
35MChronic illness
2
35MChronic illness
1
35MChronic illness
• ROD
66F
3
66F
2
66F
1
66F
• Fibrous Dysplasia
43F
43F
RTA-ROD
29M
29M
29M
POFD
53M
53M
53M
53M
Renal Tx – ROD - AVN
57FBone pain
8
57FBone pain
7
57FBone pain
6
57FBone pain
5
57FBone pain
4
57FBone pain
3
57FBone pain
2
57FBone pain
1
Gauchers
49MBone pain
49MBone pain
Poly osstotic fibrous dysplasia
25F
25F
25F
4
25F
25F
3
25F
25F
2
25F
25F
1
Primary oxalosissecondary hyperparathyroidism
• Primary• Hereditary hyperoxaluria• AR, enzyme deficiency - carboligase• Diffuse calcium oxalate deposits
• Secondary• Disturbance of bile acid metabolism• Usually diseases of terminal ileum
25F
Acroosteolysis
• Tuft• CVD, Psoriatic, Neuropathic, Thermal, Trauma, HPT,
Porphyria, Epidermolysis bullosa, Phenytoin toxicity, Subungal exostosis, Snake venom
• Middle• HPT, Hajdu Cheney, PVC
• Periarticular• Psoriatic, Erosive OA, HPT, Thermal injury, Scleroderma,
Multicetric reticulohistiocytosis
20F
1
Familial osteolysis
20F
7MKyphosis
Mucolipidosis 3 - PseudoHurlers
Newborn
Newborn
Newborn
3mMShort
3mMShort
32MStiffness and decreased ROM since child
32MStiffness and decreased ROM since child
Trevors disease
• Dysplasia epiphysialis hemimelica
32M Stiffness and decreased ROM since child
29FShort stature
8
29FShort stature
7
29FShort stature
6
29FShort stature
5
29FShort stature
4
29FShort stature
3
29FShort stature
2
29FShort stature
1
Diastrophic dwarf
29F Short stature
57ML hip pain
2
Sandwich vertebrae - Osteopetrosis
57ML hip pain
1
Osteopetrosis
• Marble bone, Defective osteoclasts
• AR, Infantile, Systemic, Leukaemia
• AD, Adult, Fxs, anaemia, CN palsy
• Sclerotic, peri and endosteal
• Erlenmyer flask
• Bone in bone, sandwich vertebrae
• Calvaria and mandible spared
57M L hip pain
67FLump
2
67FLump
1
Fibrous Dysplasia
• Common
• Hamartomatous fibro-osseous metaplasia
• 70% monoostotic
• Polyostotic tends to be unilateral
• Usually expansile
• Shepherds crook, ground glass
• Any bone, but spine unusual
67F Lump
Variable patients Same condition
6
Variable patients Same condition
5
Variable patients Same condition
4
Variable patients Same condition
3
Variable patients Same condition
2
Variable patients Same condition
1
Pseudohypoparathyroidism
• X-linked, renal and skeletal resistance to PTH
• Short, retarded,
• Decreased Ca, normal/increased PTH
• Brachydactyly 1,4,5 MC
• Ca basal ganglia, skin, SubQ
Variable patients Same condition
Same condition Various patients
8
Same condition Various patients
7
Same condition Various patients
6
Same condition Various patients
5
Same condition Various patients
4
Same condition Various patients
3
Same condition Various patients
2
Same condition Various patients
1
Dermatomyositis
• Damaged chondroitin sulfate
• Atrophy, oedema, necrosis of muscle
• 30-60, F>M
• Calcification extremities and girdles
• Pointing of tufts
• Ass. Malignancy, lung, kidney, ovary, breast
Same condition Various patients
37F acute torticollis, stiffness and shortness of breath
*
Fibrodysplasia ossificans progressiva
• MOP / Stone man
• Rare, AD, sporadic
• Presents in childhood
• Stiffness, Heterotopic ossification
• Malformed fingers and toes
• Bone morphogenic protein (BMP) signaling pathway problem
Fibrodysplasia ossificans progressiva
Variable agesincreasing stiffness
*
Fibrodysplasia ossificans progressiva
• MOP / Stone man
• Rare, AD, sporadic
• Presents in childhood
• Stiffness, Heterotopic ossification
• Malformed fingers and toes
• Bone morphogenic protein (BMP) signaling pathway problem
Fibrodysplasia ossificans progressiva
48M joint pains and dark pigmentation on ears
Alkaptonuria
*
Alkaptonuria / Ochronosis
Alkaptonuria / Ochronosis
• Absence of homogentisic acid oxidase
• Pigmentation
• Arthropathy
• Osteoporotic with dense disc calcification
• Larger joints show DJD
6mMCalcareous nodules
Idiopathic calcinosisuniversalis
*
Idiopathic calcinosisuniversalis
50FLife long problems
*
OGI
OGI
45MITC
ITC
ITC
23M
Hemophilia
Hemophilia
23M
Mastocytosis
65
Mastocytosis
65
Mastocytosis
65
Mastocytosis
65
Mastocytosis
65
Mastocytosis
65 MastocytosisHistamine release causes lucency, bodies reaction causes sclerosis.
Mastocytosis
Cherub - Fibrous Dysplasia
16mF
Dysostosis multiplex
4M
Morquio’s
24F
NF1
22F
Calcinosis Interstitialis UniversalisDermatomyositis
McCune Albright
9F
McCune Albright
Polyostotic fibrous dysplasia
24M
Polyostotic fibrous dysplasia
Polyostotic fibrous dysplasia
28BF mass in shoulder
Idiopathic Tumoral Calcinosis
*
63F
ITC
ITC
Rib osteochondroma
Rib osteochondroma
Rib osteochondroma
Massive osteolysis
Massive osteolysis
Massive osteolysis
Multiple hereditary exostoses
Multiple hereditary exostoses
Multiple hereditary exostosis
Multiple hereditary exostoses
21mF
Multiple hereditary exostoses
21mF
Multiple hereditary exostoses
NewbornFLK
OGI
Camurati Engelman
Camurati Engelman
Camurati Engelman
Metaphyseal dysplasia
Metaphyseal dysplasia
Metaphyseal dysplasia
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