title: A case of an idiopathic massive osteolysis with skip lesions.
abstract: A patient with a 2-year history of pain in the left arm, and decreased strengths unrelieved by non-steroidal anti-inflammatory therapy, was being referred for repeating radiography. The radiologic examinations have demonstrated a unique pattern of non-contiguous osteolysis in the left elbow, proximal and distal radius, ulna, wrist, carpal bones, proximal and distal metacarpals and phalanges. Multi-site biopsies were being performed and confirmed the diagnosis of massive osteolysis. To our knowledge, this is the first case in which multifocal, non-contiguous osteolysis with skip lesions without associated nephropathy and without a hereditary pattern is being described in one extremity.
authors.affiliation: Department of Radiology, Arnavutkoy State Hospital, Instanbul 34275, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ozbayrak
authors.forename: Mehmet Halit
authors.initials: MH
authors.lastname: Yilmaz
authors.forename: Fatih
authors.initials: F
authors.lastname: Kantarci
authors.forename: Harun
authors.initials: H
authors.lastname: Ozer
authors.forename: Kemal
authors.initials: K
authors.lastname: Harmanci
authors.forename: Muharrem
authors.initials: M
authors.lastname: Babacan
authors.forename: Sergulen
authors.initials: S
authors.lastname: Dervisoglu
mesh_terms: D000328:Adult; D044963:Biopsy, Fine-Needle; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010015:Osteolysis, Essential / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014457:Ulna / Q000000981:diagnostic imaging / Q000473:pathology*
keywords: Disappearing bone disease; Gorham-Stout syndrome; Idiopathic osteolysis