Download - 33F Skin patches 3. 2 1 McCune Albright 13M Bone Age - ESRD 2

33FSkin patches

3

33FSkin patches

2

33FSkin patches

1

33FSkin patches

• McCune Albright

13MBone Age - ESRD

2

13MBone Age - ESRD

1 year later

1

• Healing rickets distal ulna

25M

1

25M

• Osteopoikilosis • Benign sclerosing bone dysplasia• Melorrheostosis• Osteopathiastriata

35MChronic illness

6

35MChronic illness

5

35MChronic illness

4

35MChronic illness

3

35MChronic illness

2

35MChronic illness

1

35MChronic illness

• ROD

66F

3

66F

2

66F

1

66F

• Fibrous Dysplasia

RTA-ROD

Renal Tx – ROD - AVN

57FBone pain

8

57FBone pain

7

57FBone pain

6

57FBone pain

5

57FBone pain

4

57FBone pain

3

57FBone pain

2

57FBone pain

1

Gauchers

49MBone pain

Poly osstotic fibrous dysplasia

25F

25F

4

25F

25F

3

25F

25F

2

25F

25F

1

Primary oxalosissecondary hyperparathyroidism

• Primary• Hereditary hyperoxaluria• AR, enzyme deficiency - carboligase• Diffuse calcium oxalate deposits

• Secondary• Disturbance of bile acid metabolism• Usually diseases of terminal ileum

25F

Acroosteolysis

• Tuft• CVD, Psoriatic, Neuropathic, Thermal, Trauma, HPT,

Porphyria, Epidermolysis bullosa, Phenytoin toxicity, Subungal exostosis, Snake venom

• Middle• HPT, Hajdu Cheney, PVC

• Periarticular• Psoriatic, Erosive OA, HPT, Thermal injury, Scleroderma,

Multicetric reticulohistiocytosis

20F

1

Familial osteolysis

20F

7MKyphosis

Mucolipidosis 3 - PseudoHurlers

Newborn

3mMShort

32MStiffness and decreased ROM since child

Trevors disease

• Dysplasia epiphysialis hemimelica

32M Stiffness and decreased ROM since child

29FShort stature

8

29FShort stature

7

29FShort stature

6

29FShort stature

5

29FShort stature

4

29FShort stature

3

29FShort stature

2

29FShort stature

1

Diastrophic dwarf

29F Short stature

57ML hip pain

2

Sandwich vertebrae - Osteopetrosis

57ML hip pain

1

Osteopetrosis

• Marble bone, Defective osteoclasts

• AR, Infantile, Systemic, Leukaemia

• AD, Adult, Fxs, anaemia, CN palsy

• Sclerotic, peri and endosteal

• Erlenmyer flask

• Bone in bone, sandwich vertebrae

• Calvaria and mandible spared

57M L hip pain

67FLump

2

67FLump

1

Fibrous Dysplasia

• Common

• Hamartomatous fibro-osseous metaplasia

• 70% monoostotic

• Polyostotic tends to be unilateral

• Usually expansile

• Shepherds crook, ground glass

• Any bone, but spine unusual

67F Lump

Variable patients Same condition

6


5


4


3


2


1

Pseudohypoparathyroidism

• X-linked, renal and skeletal resistance to PTH

• Short, retarded,

• Decreased Ca, normal/increased PTH

• Brachydactyly 1,4,5 MC

• Ca basal ganglia, skin, SubQ


Same condition Various patients

8


7


6


5


4


3


2


1

Dermatomyositis

• Damaged chondroitin sulfate

• Atrophy, oedema, necrosis of muscle

• 30-60, F>M

• Calcification extremities and girdles

• Pointing of tufts

• Ass. Malignancy, lung, kidney, ovary, breast


37F acute torticollis, stiffness and shortness of breath

*

Fibrodysplasia ossificans progressiva

• MOP / Stone man

• Rare, AD, sporadic

• Presents in childhood

• Stiffness, Heterotopic ossification

• Malformed fingers and toes

• Bone morphogenic protein (BMP) signaling pathway problem


Variable agesincreasing stiffness

*


• MOP / Stone man

• Rare, AD, sporadic

• Presents in childhood

• Stiffness, Heterotopic ossification

• Malformed fingers and toes

• Bone morphogenic protein (BMP) signaling pathway problem


48M joint pains and dark pigmentation on ears

Alkaptonuria

*

Alkaptonuria / Ochronosis

Alkaptonuria / Ochronosis

• Absence of homogentisic acid oxidase

• Pigmentation

• Arthropathy

• Osteoporotic with dense disc calcification

• Larger joints show DJD

6mMCalcareous nodules

Idiopathic calcinosisuniversalis

*

Idiopathic calcinosisuniversalis

50FLife long problems

*

OGI

45MITC

23M

Hemophilia

Hemophilia

23M

Mastocytosis

65

Mastocytosis

65 MastocytosisHistamine release causes lucency, bodies reaction causes sclerosis.

Mastocytosis

Cherub - Fibrous Dysplasia

16mF

Dysostosis multiplex

4M

Morquio’s

24F

NF1

22F

Calcinosis Interstitialis UniversalisDermatomyositis

McCune Albright

9F

McCune Albright

Polyostotic fibrous dysplasia

24M


28BF mass in shoulder

Idiopathic Tumoral Calcinosis

*

63F

ITC

Rib osteochondroma

Massive osteolysis

Multiple hereditary exostoses

Multiple hereditary exostosis


21mF

NewbornFLK

Camurati Engelman

Metaphyseal dysplasia

Download - 33F Skin patches 3. 2 1 McCune Albright 13M Bone Age - ESRD 2

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