Vanishing bone disease
Increasing pain, worse on exercise.
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Baseline: normal appearances.
Progression (1967): destruction of the 2nd and 3rd metatarsal shafts. Soft tissue swelling.
Further progression (1968): involvement of the 1st and 4th metatarsal shafts and adjacent tarsal bones.
Slow but progressive destruction of the 2nd and 3rd metatarsal shafts with associated soft tissue swelling. The patient suffered from increasing pain which was worse on exercise.