Osteopetrosis (Albers-Schonberg): appearance on three-phase bone scintigraphy

Autor: Mark M. Maslack, Richard A. Vitti, Daphne Roitberg
Rok vydání: 1997
Předmět:
Zdroj: Clinical nuclear medicine. 22(12)
ISSN: 0363-9762
Popis: A 47-year-old woman with osteopetrosis, diagnosed incidentally 20 years earlier on a routine pre-employment chest radiograph, presented with painful knees of approximately 3 months' duration. A three-phase bone scan of the knees was performed using Tc-99m MDP for pathophysiologic evaluation of the patient's disease process and to rule out a complication such as fracture or osteomyelitis. The bone scan revealed bilateral hyperemia, as well as abnormal radiotracer accumulation in the distal femurs and proximal tibiae bilaterally, a reflection of her disease. No fractures or signs of modeling defects (i.e., Erlenmeyer flask), clubbing, or metaphyseal splaying were demonstrated. This suggested that she most likely had type 1 autosomal dominant disease variant by scintigraphic evaluation, and furthermore confirmed that the three-phase bone scan was a useful diagnostic test to characterize and distinguish between the two main phenotypic forms of the autosomal dominant form of osteopetrosis.
Databáze: OpenAIRE