The Spine Journal 15 (2015) 1901–1902
Melorheostosis of the spine and ribs A 70-year-old male patient presented to our hospital with complaints of cough and sweating. He had been diagnosed with type II diabetes for the past 5 years. On lung examination, crepitant rales were found; the other systems were normal. The laboratory findings showed hyperglycemia and mild leukocytosis. Posteroanterior chest
radiography and thorax computed tomography were performed to identify the lung infection. On computed tomography, bilateral lung consolidation suggestive of pneumonia was detected. On chest radiography and computed tomography, a large hyperostosis area was detected in the left ribs and cervical and thoracic vertebrae (Figure, Top and Bottom). The imaging findings were consistent with melorheostosis.
Figure. Posteroanterior chest radiography (Top Left) and coronal reformatted (Top Right) and axial computed tomography (Bottom) images showed hyperostosis in the cervicothoracic vertebral bodies (arrows) and left ribs (asterisks). http://dx.doi.org/10.1016/j.spinee.2015.04.021 1529-9430/Ó 2015 Elsevier Inc. All rights reserved.
1902
I. Guler et al. / The Spine Journal 15 (2015) 1901–1902
Melorheostosis is an unusual mesenchymal dysplasia that commonly presents on radiographs as longitudinal bars of hyperostosis in osseous structures. Serum calcium, phosphorus, and alkaline phosphatase levels have been reported to be within normal limits in melorheostosis. The disease usually affects the long bones, and spine and rib involvement is rarely seen [1,2]. References [1] Motimaya AM, Meyers SP. Melorheostosis involving the cervical and upper thoracic spine: radiographic, CT, and MR imaging findings. AJNR Am J Neuroradiol 2006;27:1198–200. [2] Jain VK, Arya RK, Bharadwaj M, Kumar S. Melorheostosis: clinicopathological features, diagnosis, and management. Orthopedics 2009;32:512.
Ibrahim Guler, MDa Muhsin Nuh Aybay, MDb Ali Cengiz, MDb Gul Eser, MDb a Department of Radiology Selcuk University Faculty of Medicine Konya 42075, Turkey b Department of Radiology Konya Education and Research Hospital Konya, Turkey FDA device/drug status: Not applicable. Author disclosures: IG: Nothing to disclose. MNA: Nothing to disclose. AC: Nothing to disclose. GE: Nothing to disclose.
Melorheostosis of the spine and ribs A 70-year-old male patient presented to our hospital with complaints of cough and sweating. He had been diagnosed with type II diabetes for the past 5 years. On lung examination, crepitant rales were found; the other systems were normal. The laboratory findings showed hyperglycemia and mild leukocytosis. Posteroanterior chest
radiography and thorax computed tomography were performed to identify the lung infection. On computed tomography, bilateral lung consolidation suggestive of pneumonia was detected. On chest radiography and computed tomography, a large hyperostosis area was detected in the left ribs and cervical and thoracic vertebrae (Figure, Top and Bottom). The imaging findings were consistent with melorheostosis.
Figure. Posteroanterior chest radiography (Top Left) and coronal reformatted (Top Right) and axial computed tomography (Bottom) images showed hyperostosis in the cervicothoracic vertebral bodies (arrows) and left ribs (asterisks). http://dx.doi.org/10.1016/j.spinee.2015.04.021 1529-9430/Ó 2015 Elsevier Inc. All rights reserved.
1902
I. Guler et al. / The Spine Journal 15 (2015) 1901–1902
Melorheostosis is an unusual mesenchymal dysplasia that commonly presents on radiographs as longitudinal bars of hyperostosis in osseous structures. Serum calcium, phosphorus, and alkaline phosphatase levels have been reported to be within normal limits in melorheostosis. The disease usually affects the long bones, and spine and rib involvement is rarely seen [1,2]. References [1] Motimaya AM, Meyers SP. Melorheostosis involving the cervical and upper thoracic spine: radiographic, CT, and MR imaging findings. AJNR Am J Neuroradiol 2006;27:1198–200. [2] Jain VK, Arya RK, Bharadwaj M, Kumar S. Melorheostosis: clinicopathological features, diagnosis, and management. Orthopedics 2009;32:512.
Ibrahim Guler, MDa Muhsin Nuh Aybay, MDb Ali Cengiz, MDb Gul Eser, MDb a Department of Radiology Selcuk University Faculty of Medicine Konya 42075, Turkey b Department of Radiology Konya Education and Research Hospital Konya, Turkey FDA device/drug status: Not applicable. Author disclosures: IG: Nothing to disclose. MNA: Nothing to disclose. AC: Nothing to disclose. GE: Nothing to disclose.
