H-shaped vertebrae in patient with sickle cell anemia

Case contributed by Mohamed El Deen
Diagnosis almost certain

Presentation

A known patient with sickle cell anemia.

Patient Data

Gender: Male

Chest and abdominal radiographic images show H-shaped vertebral bodies in a patient with sickle cell disease.

Multiple gallbladder stones and enlarged liver in its cranio-caudal dimension.   

Case Discussion

H-shaped vertebrae is seen in many patient with sickle cell anemia. It is likely related to micro-vascular occlusion by sickled RBCs " vaso-occlusive disease" resulting in vertebral end plate infarction. 

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