Scurvy: a rare case in an adult.


:A 69-year-old man presented with unilateral calf pain, swelling, and erythematous rash. He was initially treated with antibiotics for suspected cellulitis. A venous duplex ultrasound, performed to exclude deep venous thrombosis, revealed multiple heterogeneous hypoechoic foci of unknown etiology throughout the calf musculature. His condition did not improve with antibiotics, instead progressing to a necrotic ulcer along the medial malleolus. Clinical suspicion of vascular insufficiency or vasculitis prompted an extensive imaging work-up. CT and MRI revealed the intramuscular abnormalities observed on previous ultrasound represented foci of intramuscular hemorrhage. Marrow signal abnormality was also noted in the proximal tibia. A punch biopsy of the skin rash ultimately demonstrated distorted hair follicles with perifollicular inflammation and hemorrhage concerning for scurvy. The diagnosis was confirmed by low vitamin C levels and dietary history. A resurgence of scurvy has occurred in the pediatric population in recent years. However, this diagnosis remains uncommon in adults, with limited reports of the potential advanced imaging findings in the current literature.


Skeletal Radiol


Skeletal radiology


Joshi R,Gustas-French CN,Fanburg-Smith JC,Helm KF,Flemming D




Has Abstract


2019-06-01 00:00:00














  • Worsening right hip pain.

    abstract:: ...

    journal_title:Skeletal radiology

    pub_type: 社论


    authors: Hussain JA,Ali S,Montecalvo N,Panaro JN,Awan OA

    更新日期:2019-04-01 00:00:00

  • Progressive atlanto-axial subluxation in Behcet's disease.

    abstract::Behcet's disease is a chronic inflammatory condition involving several organs, such as the skin, mucous membranes, eyes, joints, intestines, lungs and central nervous system. It rarely affects the spinal column. We describe a case of progressive atlanto-axial subluxation in a 44-year-old woman with Behcet's disease. T...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Kim SH,Eoh W

    更新日期:2010-03-01 00:00:00

  • Postradiation sarcomas of the pelvis after treatment for uterine cervical cancer: review of the CT and MR findings of five cases.

    abstract:OBJECTIVE:To characterize the radiologic features of postradiation sarcomas arising in the pelvic bones following treatment for uterine cervical carcinoma. DESIGN AND PATIENTS:Five patients who developed postradiation sarcomas in the pelvic bones following radiation therapy for carcinoma of the uterine cervix within t...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Nakanishi K,Yoshikawa H,Ueda T,Araki N,Tanaka H,Aozasa K,Nakamura H

    更新日期:2001-03-01 00:00:00

  • Pseudocyclops: two cases of ACL graft partial tears mimicking cyclops lesions on MRI.

    abstract::Arthroscopic reconstruction of the anterior cruciate ligament (ACL) using autografts or allografts is a common surgical procedure, particularly in young athletes. Although the procedure has excellent success rates, complications such as mechanical impingement, graft rupture, and arthrofibrosis can occur, often necessi...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Simpfendorfer C,Miniaci A,Subhas N,Winalski CS,Ilaslan H

    更新日期:2015-08-01 00:00:00

  • The radiographic acromiohumeral interval is affected by arm and radiographic beam position.

    abstract:OBJECTIVE:The objective was to determine whether arm and radiographic beam positional changes affect the acromiohumeral interval (AHI) in radiographs of healthy shoulders. MATERIALS AND METHODS:Controlling for participant's height and position as well as radiographic beam height and angle, from 30 right shoulders of r...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,随机对照试验


    authors: Fehringer EV,Rosipal CE,Rhodes DA,Lauder AJ,Puumala SE,Feschuk CA,Mormino MA,Hartigan DE

    更新日期:2008-06-01 00:00:00

  • Value of monoenergetic dual-energy CT (DECT) for artefact reduction from metallic orthopedic implants in post-mortem studies.

    abstract:OBJECTIVES:The aim of this ex vivo study was to assess the performance of monoenergetic dual-energy CT (DECT) reconstructions to reduce metal artefacts in bodies with orthopedic devices in comparison with standard single-energy CT (SECT) examinations in forensic imaging. Forensic and clinical impacts of this study are ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Filograna L,Magarelli N,Leone A,Guggenberger R,Winklhofer S,Thali MJ,Bonomo L

    更新日期:2015-09-01 00:00:00

  • Familial early onset sarcoidosis with bone cysts and erosions.

    abstract::Early onset sarcoidosis is a granulomatous disease which is characterized by synovitis, polyarthritis, skin and eye involvement. We report the skeletal features of one patient with a family history and clinical symptoms suggestive of early onset sarcoidosis (EOS) which was confirmed by skin biopsy. Radiographs reveal ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Blank N,Max R,Autschbach F,Libicher M,Lorenz HM

    更新日期:2007-09-01 00:00:00

  • Case report 736: Retained surgical sponge (gossypiboma) with a foreign body reaction and remote and organizing hematoma.

    abstract::This 50-year-old woman presented with progressive pain in the left thigh. Radiographs showed a 9 x 6 cm soft-tissue mass located at the lateral border of the left femur. Magnetic resonance (MR) examination showed an eccentric, nonhomogeneous, soft-tissue mass abutting the femur. The preoperative differential diagnosis...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Abdul-Karim FW,Benevenia J,Pathria MN,Makley JT

    更新日期:1992-01-01 00:00:00

  • Unusual presentation of a dermoid cyst in the ischiorectal fossa. Magnetic resonance imaging and ultrasound appearances.

    abstract::The ischiorectal fossa may give rise to a wide variety of pathological entities, although it is composed of relatively few structures. Developmental cysts are included among the list. Large epidermoid cysts in the ischiorectal fossa have been previously described (Fujimoto et al., Clin Imaging 17:146-148, 1993; Ng et ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Choudur HN,Hunjan JS,Howey JM,DeNardi F

    更新日期:2009-09-01 00:00:00

  • Chondroblastoma of the patella.

    abstract::This study reviews 16 cases of chondroblastoma of the patella which constitute nearly 6% of a large group of chondroblastomas scattered throughout the skeleton. Both radiologic and histologic appearances of chondroblastomas of the patella are indistinguishable from those of chondroblastomas arising in other sites. A r...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Moser RP Jr,Brockmole DM,Vinh TN,Kransdorf MJ,Aoki J

    更新日期:1988-01-01 00:00:00

  • The "lamellated" skull in beta-thalassaemia.

    abstract::The skull in homozygous beta-thalassaemia may present several abnormalities, such as osteopenia, widening of the diploic space, and a "hair-on-end" appearance. In some cases it presents also a particular stratified appearance caused by a variable number of osseous lamellae, parallel with the inner table. This "lamella...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Orzincolo C,Castaldi G,Scutellari PN,Franceschini F

    更新日期:1989-01-01 00:00:00

  • Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology. II. Juxtacortical cartilage tumors.

    abstract::In part I, we reviewed the varied clinical presentations, pathogenesis, histologic findings, radiologic findings, and treatment of intramedullary cartilaginous lesions of bone. In this section, we will evaluate our cases and consultations of juxtacortical cartilaginous tumors. Radiographic differential diagnosis inclu...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审


    authors: Brien EW,Mirra JM,Luck JV Jr

    更新日期:1999-01-01 00:00:00

  • Peroneal tendon abnormalities in subjects with an enlarged peroneal tubercle.

    abstract:OBJECTIVE:To examine the association between inframalleolar peroneal tendon abnormalities and an enlarged peroneal tubercle. MATERIALS AND METHODS:Two independent readers evaluated consecutive ankle MR imaging studies to classify inframalleolar peroneal tendon findings as normal, tenosynovitis, partial tear or complet...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Taneja AK,Simeone FJ,Chang CY,Kumar V,Daley S,Bredella MA,Torriani M

    更新日期:2013-12-01 00:00:00

  • Atypical diaphyseal femoral fractures--new aspects.

    abstract::Post menopausal osteoporotic fractures are a major public health concern worldwide with oral bisphosphonates favored for their prevention and treatment. Recent interest has centered on clinically observed, unusually sited femoral diaphyseal fractures, particularly attributed to alendronate. Their imaging presentations...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Feldman F

    更新日期:2012-01-01 00:00:00

  • The iliotibial band in acute knee trauma: patterns of injury on MR imaging.

    abstract:OBJECTIVE:To delineate the spectrum of knee injuries associated with sprains and tears of the distal iliotibial band (ITB). MATERIALS AND METHODS:A retrospective review of 200 random MRI scans undertaken for acute knee trauma was performed. Scans were excluded if there was a history of injury over 4 weeks from the tim...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Mansour R,Yoong P,McKean D,Teh JL

    更新日期:2014-10-01 00:00:00

  • Comparison of diffusion-weighted whole body MRI and skeletal scintigraphy for the detection of bone metastases in patients with prostate or breast carcinoma.

    abstract:PURPOSE:To prospectively compare the diagnostic accuracy of diffusion-weighted whole body imaging with background whole body signal suppression (DWIBS) with skeletal scintigraphy for the diagnosis and differentiation of skeletal lesions in patients suffering from prostate or breast cancer. MATERIAL AND METHODS:A diagn...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Gutzeit A,Doert A,Froehlich JM,Eckhardt BP,Meili A,Scherr P,Schmid DT,Graf N,von Weymarn CA,Willemse EM,Binkert CA

    更新日期:2010-04-01 00:00:00

  • MR findings of necrotic lesions and the extralesional area of osteonecrosis of the femoral head.

    abstract:OBJECTIVE:To investigate the MR findings of necrotic lesions and the extralesional area of osteonecrosis of the femoral head (ONFH) for each of the radiological stages. DESIGN AND PATIENTS:Forty-nine hips in 29 patients (15 female, 14 male; mean age 38 years, range 17-59 years) were imaged using a 1.0-T superconductin...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Sakai T,Sugano N,Nishii T,Haraguchi K,Ochi T,Ohzono K

    更新日期:2000-03-01 00:00:00

  • True bursal pigmented villonodular synovitis.

    abstract::We describe two cases of pigmented villonodular synovitis affecting true bursae. This study was also designed to discuss the term "pigmented villonodular bursitis", not confined to true synovial bursae, sometimes creating misunderstanding. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Abdelwahab IF,Kenan S,Steiner GC,Abdul-Quader M

    更新日期:2002-06-01 00:00:00

  • Case report 631: Neo-osseous porosis (metaphyseal osteopenia) in polyglandular autoimmune (Schmidt) syndrome.

    abstract::In summary, a case is reported of a patient with the radiographic findings of diffuse, symmetrical metaphyseal osteopenia of long bones. A constellation termed neo-osseous porosis, associated with polyendocrine failure (Schmidt syndrome) involving the thyroid gland, adrenal glands, and gonads has been described in thi...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Vela BS,Dorin RI,Hartshorne MF

    更新日期:1990-01-01 00:00:00

  • Tenosynovial osteochondromatosis of the tarsal tunnel.

    abstract::A case of tenosynovial osteochondromatosis in the tarsal tunnel in a 23-year-old man is presented. The lesion was treated surgically, and multiple osteochondromas were excised, which had no continuity with any tarsal bone or joint cavity but did with the sheaths of the flexor digitorum longus and flexor hallucis longu...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Sugimoto K,Iwai M,Kawate K,Yajima H,Takakura Y

    更新日期:2003-02-01 00:00:00

  • Imaging of chest wall infections.

    abstract::A wide variety of infections can affect the chest wall including pyogenic, tuberculous, fungal, and some other unusual infections. These potentially life-threatening disorders are frequent especially among immunocompromised patients but often misdiagnosed by physical examination and radiographs. The purpose of this ar...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审


    authors: Chelli Bouaziz M,Jelassi H,Chaabane S,Ladeb MF,Ben Miled-Mrad K

    更新日期:2009-12-01 00:00:00

  • CT and MR imaging findings of solitary nevus lipomatosus cutaneous superficialis: radiological-pathological correlation.

    abstract:OBJECTIVE:This study assessed the CT and MRI findings of solitary nevus lipomatosus cutaneous superficialis (NLCS). MATERIALS AND METHODS:Eleven patients with histopathologically and clinically confirmed solitary NLCS who underwent CT and/or MRI were enrolled. Radiological and histopathological findings of elevated le...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Kawaguchi M,Kato H,Tomita H,Hara A,Matsuo M

    更新日期:2020-01-01 00:00:00

  • Computed tomography analysis of bone tumors: patterns of cortical destruction and soft tissue extension.

    abstract::Computed tomography was used to identify three different ways in which primary bone tumors may transgress a bony cortex. Analysis of the pattern of cortical transgression was used in conjunction with the presence or absence of matrix mineralization to classify correctly the lesion into one of four different diagnostic...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Brown KT,Kattapuram SV,Rosenthal DI

    更新日期:1986-01-01 00:00:00

  • The lateral patellar retinaculum defect: anatomical study using ultrasound.

    abstract:OBJECTIVE:The purpose of this study was to evaluate whether ultrasound allows precise assessment of a focal defect at the lateral patellar retinaculum (LPR) and to determine its anatomical significance. MATERIALS AND METHODS:This work was initially undertaken in four cadaveric specimens and followed by high-resolution...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Moraux A,Bianchi S,Tassery F,Le Corroller T

    更新日期:2019-11-01 00:00:00

  • Bone scintigraphy and magnetic resonance imaging after transtrochanteric rotational osteotomy.

    abstract:OBJECTIVE:To assess the ability of bone scintigraphy and magnetic resonance imaging (MRI) to predict the outcome of transtrochanteric rotational osteotomy (TRO) for osteonecrosis of the femoral head (ONFH). DESIGN:This study was a prospective evaluation of imaging techniques. PATIENTS AND METHODS:MRI and bone scintig...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Iwasada S,Hasegawa Y,Iwase T,Kitamura S,Iwata H

    更新日期:1999-05-01 00:00:00

  • Dynamic enhanced MRI of the subacromial bursa: correlation with arthroscopic and histological findings.

    abstract:OBJECTIVE:To assess dynamic MRI with Gd-DTPA enhancement for evaluating inflammatory changes in the subacromial bursa. DESIGN AND PATIENTS:We detected the signal intensity changes in dynamic MRI of the subacromial bursa, and confirmed these macroscopically by arthroscopy and histologically. The signal intensity was me...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Matsuzaki S,Yoneda M,Kobayashi Y,Fukushima S,Wakitani S

    更新日期:2003-09-01 00:00:00

  • Case report 750: Aspergillosis of the chest wall in an apparently immunocompetent host.

    abstract::This is a case of aspergillosis of the bone and soft tissues of the chest wall in a (probably) immunocompetent host. The areas of involvement and different types of this disease are described. The A. flavus group, which presumably was responsible for this involvement of the chest wall, is very uncommon as a pathogen i...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Fisher MS

    更新日期:1992-01-01 00:00:00

  • MR imaging of the accessory soleus muscle appearance in six patients and a review of the literature.

    abstract::We examined seven ankles with an accessory soleus muscle to determine if the magnetic resonance (MR) imaging features were sufficient to allow accurate diagnosis of this anomalous muscle. We believe that the diagnosis of an accessory soleus muscle is unequivocal with MR imaging on the basis of morphology and signal in...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审


    authors: Yu JS,Resnick D

    更新日期:1994-10-01 00:00:00

  • Intramuscular peripheral nerve sheath tumors: schwannoma, ancient schwannoma, and neurofibroma.

    abstract:PURPOSE:To analyze the prevalence of classic magnetic resonance imaging (MRI) findings of intramuscular peripheral nerve sheath tumors (PNSTs), including schwannoma, ancient schwannoma, and neurofibroma. METHOD:Thirty pathologically confirmed benign intramuscular PNSTs (24 schwannomas, 3 ancient schwannomas, and 3 neu...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: Lee SK,Kim JY,Lee YS,Jeong HS

    更新日期:2020-06-01 00:00:00

  • Medial collateral ligament tear entrapped within a proximal tibial physeal separation: imaging findings and operative reduction.

    abstract::Entrapped soft tissues such as periosteum and tendons have been described within joints and physeal fractures in the literature and frequently result in irreducible fractures and posttraumatic growth disturbances. We believe this case represents a novel presentation of acute, preoperative, magnetic resonance (MR) imag...

    journal_title:Skeletal radiology

    pub_type: 杂志文章


    authors: McAnally JL,Eberhardt SC,Mlady GW,Fitzpatrick J,Bosch P

    更新日期:2008-10-01 00:00:00