Melorheostosis
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Ian Bickle had no recorded disclosures.
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Medical fitness chest film prior to commencement of new employment.
Patient Data
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Dense sclerotic ribs in a dermatomal distribution. Sclerotic 6th and 7th left ribs along a confluent length of bone. Dripping candle wax appearance.
Asymptomatic patient with long period of static appearances. After initial viewing, old films were reviewed dating back more than 10 years to early adulthood which were unchanged.
1 case question available
Q: What is the differential diagnosis for sclerotic rib lesions? show answer
A: By the far the commonest are sclerotic metastases, the most common being from breast and prostate primaries. Other causes include; previous trauma, and metabolic causes.
Case Discussion
Typical appearances of melorheostosis affecting the ribs.
References
- Bansal A. The dripping candle wax sign. Radiology. 2008;246 (2): 638-40.
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