Presentation
Increasing pain, worse on exercise.
Patient Data
Age: 35 years
Gender: Female
From the case:
Vanishing bone disease
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Baseline: normal appearances.
Progression (1967): destruction of the second and third metatarsal shafts. Soft tissue swelling.
Further progression (1968): involvement of the first and fourth metatarsal shafts and adjacent tarsal bones.
Case Discussion
Slow but progressive destruction of the second and third metatarsal shafts with associated soft tissue swelling. The patient suffered from increasing pain, worse on exercise.