Bone infarction

Case contributed by Dr Huda B. Gharbia

Presentation

Known case of systemic lupus erythematosus, on treatment, presented with ankle pain.

Patient Data

Age: 40 years
Gender: Female
MRI

There are irregular serpiginous lines in medulla of distal tibia, fibula and posterior calcaneus. These lines appear hyperintense in T1 fat sat images in parallel with the hypointense thin lines within the marrow, suggestive of bone infarction.

Also noted, hyperintensity in talus bone, suggestive of edema, and small osteochondral defect in medial aspect of talus dome, denoting osteochondritis dissecans.

Case Discussion

Medullary bone infarction is a complication of long term steroid therapy in SLE patients.

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Case information

rID: 64822
Published: 10th Dec 2018
Last edited: 2nd Dec 2019
Inclusion in quiz mode: Included

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