Presentation
Left-hand pain after falling.
Patient Data
Age: 70 years
Gender: Female
From the case:
Chronic anemia - coarse trabecular pattern in bone
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Info
Diffuse osteopenia with expansion of the medullary space of the forth metacarpal and a lace-like trabecular pattern.
Case Discussion
An elderly female presented to the ER complaining of left hand pain after falling. The x-ray was done to exclude a fracture. Her x-ray shows coarse trabecular bone changes with expansion of medullary space, especially at the fourth metacarpal of the left hand. This pattern has a wide differential diagnosis, one of which is chronic anemia, which was confirmed by laboratory tests in this patient.
If this pattern affects an isolated bone, this should raise the suspicion of neoplastic changes such as enchondromas.
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