| خلاصه مقاله | Aim/Introduction: Bone cells make an abnormal type of Äbrous
bone when they are aÃected by Äbrous dysplasia caused by a
gene mutation. Despite beginning to form before birth, abnormal
bones are often not diagnosed until childhood, adolescence, or
adulthood. As a result, this study aims to demonstrate the value
of a whole-body bone scan when dealing with multiple skeletal
involvement such as Paget’s disease and Äbrous dysplasia.
Materials and Methods: A 22-year-old man presented for
whole-body bone scintigraphy to assess skeletal pain and bone
lesions with a history of left radius bone fractures 4 years ago and
left femoral shaft fractures 2 years ago. In radiologic examination,
osteolytic lesions were noted in the left femur of the patient who
has been experiencing pain and numbness in his lower limbs
since age 11. As a result of a biopsy performed in 2013, ABC
(Aneurysmal Bone Cyst) was reported in the left lower limb. The
patient complains of general body pain, especially in the ribs
and pelvis, as well as movement limitation. Moreover, due to
the pathological fracture of the left femur, a prosthesis has been
placed there. Whole body bone scintigraphy was performed
3 hours after intravenous administration of 20 mCi 99mTcMDP using a Siemens dual-headed gamma camera with LEHR
collimators. Results: As a result of the scan, a nuclear medicine
specialist reported both irregular and diÃuse osteoblastic lesions
in the skeletal system including the right maxilla and mandible,
both sides ribs, the left hand and shoulder (with deformity), the left
hemipelvis, the left lower limb (with mild deformity and proximal
expansion) with high probability of Äbrous dysplasia. Following
the bone scan result and sites of involvements, another bone
biopsy was performed on the left femur and tibia, conÄrming
Äbrous dysplasia. Conclusion: Therefore, the results indicate
that a whole-body bone scan can be very useful in guiding and
diagnosing rare and genetic bone conditions like Äbrous dysplasia
that have multiple involvements, and it may delay the diagnosis
process if it is not used. |