Fibrous dysplasia localized to spine: a diagnostic dilemma.
Fibrous dysplasia of the spine is uncommon, especially in monostotic form. Isolated vertebral involvement in polyostotic form is very rare. We report a case of polyostotic fibrous dysplasia with lesions localized to dorso-lumbar spine in a 45-year-old rheumatoid arthritis patient. No associated appendicular lesions, cutaneous manifestations or endocrinopathies were seen. The extreme rarity of this type of lesion can pose a diagnostic dilemma, and biopsy is required for diagnosis. The association with rheumatoid arthritis in our case seems to be a chance occurrence.
Gogia
Nidhi
N
Department of Radiology, All India Institute of Medical Sciences, New Delhi, India. nidhi.gogia@gmail.com
Marwaha
V
V
Atri
S
S
Gulati
Manpreet
M
Gupta
Rajiva
R
D001172:Arthritis, Rheumatoid / Q000150:complications; D003937:Diagnosis, Differential; D004164:Diphosphonates / Q000627:therapeutic use; D005357:Fibrous Dysplasia of Bone / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013122:Spinal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D014055:Tomography, Emission-Computed
D004164:Diphosphonates