tailieunhanh - Báo cáo y học: "Unusual cause of generalized osteolytic vertebral lesions: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Unusual cause of generalized osteolytic vertebral lesions: a case report. | Journal of Medical Case Reports BioMed Central Case report Open Access Unusual cause of generalized osteolytic vertebral lesions a case report Sudip Nanda 1 Surya Prakash Bhatt1 David Steinberg2 and Stephen A Volk3 Address Department of Internal Medicine St. Luke s Hospital 801 Ostrum Street Bethlehem Pennsylvania 18015 USA 2Department of Pathology St. Luke s Hospital 801 Ostrum Street Bethlehem Pennsylvania 18015 USA and 3Department of Hematology and Oncology St. Luke s Hospital 801 Ostrum Street Bethlehem Pennsylvania 18015 USA Email Sudip Nanda - sudipnanda2000@ Surya Prakash Bhatt - suryabhatt@ David Steinberg - steinbD@ Stephen AVolk - savolk@ Corresponding author Published 26 June 2007 Received 30 March 2007 Journal of Medical Case Reports 2007 1 33 doi 1752-1947-1-33 Accepted 26 June 2007 This article is available from http content 1 1 33 2007 Nanda et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Vertebral sarcoidosis is an extremely rare form of osseous sarcoidosis. Although osseous sarcoidosis is almost always an incidental finding of sarcoidosis elsewhere in the body vertebrae may be the primary disease site. Involvement of vertebrae is usually localized and sclerotic or lytic. Case presentation We describe a case of extensive asymptomatic vertebral involvement by sarcoid with osteolytic lesions. Making the diagnosis requires biopsy and ruling out other commoner causes of osteolytic vertebral lesions. Conclusion We report this case in the hope of expanding the knowledge of osseous sarcoidosis. Our patient was unique in that all involvement was axial with sparing of the peripheral skeleton near absence of any other