Question:

One of the following is not true for osteopoikilosis
1. Can coexist with white skin lesions
2. It appears in elderly
3. Pathological fracture is a possible complication of osteopoikilosis
4. Severe pain is a very rare symptom
5. Sclerotic lesions are symmetrical





Answer:

The correct answers for the question "One of the following is not true for osteopoikilosis" are:

1. Can coexist with white skin lesions

3. Pathological fracture is a possible complication of osteopoikilosis

4. Severe pain is a very rare symptom

5. Sclerotic lesions are symmetrical



Explanation

1. Osteopoikilosis can coexist with various dermatological conditions such as white skin lesions. [In such cases, osteopoikilosis co-exists with disseminated white skin lesions (dermatofibrosis lenticularis)]

2. Ostepoikilosis is a condition that appears within the first 2 decades of life (Furthermore, osteopoikilosis appears in childhood and persists through life)

3. Stress can result a pathological fracture much more easy compared to normal bones. (Possible complications described in literature are osteosarcoma, pathological fracture and chondrosarcoma.)

4. Osteopoikilosis is most of the time an asymptomatic condition. (Osteopoikilosis is usually an asymptomatic condition, founded randomly on routine radiographic imaging examinations)

5. (The sclerotic lesions in osteopoikilosis are symmetrical, bone epiphyses and metaphyses are mainly involved, foci are uniform in size and never induce cortical erosion)



From the manuscript:
Osteopoikilosis: a case report of a symptomatic patient
Radiology Case. 2009 Dec; 3(12):38-43


This article belongs to the MSK section.




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From the manuscript

Osteopoikilosis: a case report of a symptomatic patient

Free full text article: Osteopoikilosis: a case report of a symptomatic patient

Abstract
Osteopoikilosis (OP) is a very rare benign sclerosing bony dysplasia with an autosomal dominant inheritance. We describe the morphology of an osteopoikilosis male patient, associated with severe pain on wrist and hand joints, report on the relative literature and focus on clinical significance, due to mimicking capability of other more severe conditions such as bone metastases.






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