Abstract：
: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.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Joshi R,Gustas-French CN,Fanburg-Smith JC,Helm KF,Flemming Ddoi
10.1007/s00256-018-3069-3subject
Has Abstractpub_date
2019-06-01 00:00:00pages
977-984issue
6eissn
0364-2348issn
1432-2161pii
10.1007/s00256-018-3069-3journal_volume
48pub_type
杂志文章abstract：:Lateral mass compression fractures of the axis involve compression of the pedicle and displacement of the overlying facet, with or without an accompanying fracture of the odontoid. These unilateral fractures are not rare. Correlation is made between clinical cases and cadaver material with analysis of microradiographs...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00349332
更新日期：1979-06-06 00:00:00
abstract：OBJECTIVE:The aim of this study is to investigate whether virtual MR arthroscopy could be used to visualize the internal architecture of the radiocarpal compartment of the wrist joint in comparison to surgical arthroscopy. DESIGN:Diluted paramagnetic contrast material was injected into the radiocarpal compartment prio...
journal_title：Skeletal radiology
pub_type： 临床试验,杂志文章
doi：10.1007/s00256-003-0704-3
更新日期：2004-01-01 00:00:00
abstract：:Langerhans cell histiocytosis (LCH) is a complex disease entity comprised of three distinct clinical syndromes that demonstrate indistinguishable histology. These syndromes are: eosinophilic granuloma, which is predominantly osseous or pulmonary; Hand-Schûller-Christian's disease, which involves multiple organ systems...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-006-0193-2
更新日期：2007-02-01 00:00:00
abstract：:Seven cases of calcific tendinitis of the gluteus maximus tendon are presented. Awareness of the precise anatomic location of the calcific deposit is essential for the accurate diagnosis of this uncommon site of tendinitis. Clinically, the presenting complaint is that of pain. In some instances, however, the patients ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00352555
更新日期：1983-01-01 00:00:00
abstract：OBJECTIVE:To assess the impact of different types of physical activity types on longitudinal knee joint structural changes over 48 months in overweight and obese subjects. MATERIALS AND METHODS:We included 415 subjects with a BMI ≥ 25 kg/m2, Kellgren-Lawrence scores ≤ 3 at baseline and Whole-Organ Magnetic Resonance I...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-020-03642-2
更新日期：2021-01-06 00:00:00
abstract：:A 53-year-old woman developed a subchondral insufficiency fracture of the right femoral head after undergoing a liver transplantation. Radiographs obtained at her first visit demonstrated a slight subchondral collapse in the superolateral portion of the femoral head. Magnetic resonance imaging (MRI) disclosed an irreg...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-009-0706-x
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVE:To assess MRI changes in the ankle and foot after physical exercise. DESIGN AND PATIENTS:Nineteen non-professional marathon runners and 19 age- and sex-matched controls volunteered for the study. All had ankle and foot MR images (1.5 T) taken in three perpendicular planes (STIR, T2F and T1FS sequences) withi...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560000316
更新日期：2001-02-01 00:00:00
abstract：:Posterior spinal tuberculosis or arch tuberculosis is a form of skeletal tuberculosis that selectively involves the vertebral arch. It may mimic skeletal neoplasm clinically and radiographically. Although posterior spinal tuberculosis has been reported in developing countries it has rarely been found in the United Sta...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050322
更新日期：1997-12-01 00:00:00
abstract：:While well-recognized in the orthopedic literature as a cause of chronic hip pain, acetabular retroversion has not been specifically described in the radiologic literature. Acetabular retroversion represents a particular form of hip dysplasia characterized by abnormal posterolateral orientation of the acetabulum. This...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-006-0150-0
更新日期：2007-06-01 00:00:00
abstract：:Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) represents a rare subclassification of peripheral T-cell lymphoma (PTCL). We present a case of a 21-year-old female who presented with a 1-month history of pain in the left buttock and hip, tender left inguinal lymph nodes, fevers, and night sweats. Percutaneous c...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-014-1879-5
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:To compare fat-suppressed fast spin-echo (FSE) T2-weighted images with gradient-recalled echo (GRE) T2*-weighted images in the evaluation of anteroinferior labral tears. DESIGN:MR images were retrospectively reviewed by two radiologists masked to the history and arthroscopic findings. They separately interpr...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050238
更新日期：1997-05-01 00:00:00
abstract：:There is still a paucity of information about the clinical presentation, treatment and imaging findings of latissimus muscle tears. Only one study has specifically described the magnetic resonance imaging (MRI) features of latissimus tendon tears. We describe a case of a high-grade tear in the latissimus muscle tendon...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-009-0717-7
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the evolution of the ultrasonographic pubo-femoral distance (PFD) before and after Pavlik harness treatment for developmental dysplasia of the hip (DDH) in newborns. PATIENTS AND METHODS:Twenty-five patients (16.7 ± 10.4 days; 19 females, six males) diagnosed with DDH and treated using the Pavlik...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-017-2668-8
更新日期：2017-09-01 00:00:00
abstract：:We present a case of an intramuscular granular cell tumor in the thigh manifesting a 'stripe sign' on magnetic resonance imaging (MRI). This MR finding may correspond with the entrapped muscle fibers within the tumor, which demonstrated parallel arrangement on histopathologic examination. In addition, other disease en...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-015-2247-9
更新日期：2016-01-01 00:00:00
abstract：:Pelvic bone injuries are infrequent complications of radiotherapy. However, insufficiency fractures in irradiated pelvic bones may be underdetected, particularly in postmenopausal women. We describe the clinical presentation, radiologic evaluation, and course of disease in three patients with postradiation pelvic insu...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050200
更新日期：1997-02-01 00:00:00
abstract：:A newborn baby presented with hyaline membrane disease, interstitial pneumonia, jaundice, hepatosplenomegaly, and unusual bone manifestations with lytic and sclerotic bone lesions and virtually absent periosteal reaction. He subsequently developed intracranial calcifications and mental retardation. The pneumonia and h...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00355386
更新日期：1983-01-01 00:00:00
abstract：:We report on a case of a deforming arthropathy in a young man with a lysosomal storage disorder. A 31-year-old man with a known diagnosis of mannosidosis presented with a painful swollen right elbow. Radiographs of his right elbow showed a disorganised joint with multiple fragments resembling the appearances of a neur...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560000213
更新日期：2000-06-01 00:00:00
abstract：:This case demonstrates the potential pitfall of obtaining CT images in the axial plane alone, with a fracture parallel to the imaging plane mimicking vertebral body destruction and associated epidural mass mimicking neoplasm. Chan et al. have discussed the value of reformatted CT images in coronal and sagittal planes ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00243098
更新日期：1992-01-01 00:00:00
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
doi：10.1007/s002560000318
更新日期：2001-03-01 00:00:00
abstract：:Pseudoaneurysms of the dorsalis pedis artery are rare complications following arthroscopic surgery. This manuscript reports a case of an intra-articular pseudoaneurysm presenting nearly 5 months following an arthroscopic Broström procedure. The rarity of this complication and the patient's unusual clinical presentatio...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-018-3025-2
更新日期：2019-03-01 00:00:00
abstract：:We described a case of high-grade surface sarcoma of the radius in a 14-year-old boy. The lesion appeared radiologically benign and was confined to the surface. The tumor was resected. At the time of biopsy both lungs showed diffuse metastases. Following surgery the patient underwent chemotherapy and the lung metastas...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:A complete slip of the cartilage of the inferior angle of the scapula was diagnosed in a 5-year-old boy who fell inside a wooden construction at a kindergarten playground. Radiographs of the scapula were normal, and ultrasound demonstrated complete cartilage detachment, which was displaced deep and laterally. Computed...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-011-1311-3
更新日期：2012-05-01 00:00:00
abstract：:Benign fibrous histiocytoma is an extremely rare spinal tumor with ten reported cases in the literature. Benign fibrous histiocytoma constitutes a diagnostic challenge because it shares common clinical symptoms, radiological characteristics, and histological features with other benign lesions involving the spine. We p...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-008-0597-2
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVE:Real-time sonoelastography (SE) is a new ultrasound-based imaging technique that provides information on tissue elasticity and stiffness. We determined the efficacy of SE for assessing Achilles tendon abnormalities in patients with ankylosing spondylitis (AS). MATERIALS AND METHODS:Forty-one consecutive AS p...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-013-1637-0
更新日期：2013-08-01 00:00:00
abstract：:We present a case of sarcoidosis with soft tissue masses and associated phalangeal erosive changes. Sarcoidosis of the musculoskeletal system presenting as a soft tissue mass has been described previously but is rare. To our knowledge, the combination of soft tissue masses and phalangeal erosions has never been descri...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050181
更新日期：1996-11-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to provide a detailed description of the anatomy of the coronoid process of the ulna and to use magnetic resonance (MR) images and anatomic correlation with cadavers to show the macroscopic configuration of this structure. MATERIALS AND METHODS:Photography and high-resolution ra...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-008-0556-y
更新日期：2009-01-01 00:00:00
abstract：:A skeletal seeking radiopharmaceutical labeled with a long-lived radionuclide was developed to evaluate regional bone formation and its subsequent resorption. The agent is [phosphonate (phenylmethylene hydroxy) bis] - I-125 or I-125 phi PA. Tissue distribution studies in mice (N = 16) showed approximately 40% of the a...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00361978
更新日期：1982-01-01 00:00:00
abstract：:A painful or rigid subtalar joint is a common clinical problem. Computed tomography (CT) has been shown to be useful in evaluating tarsal coalition, but several other pathologic processes with a similar clinical presentation may affect the subtalar joint. Findings from 45 radiographically abnormal subtalar joints are ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF02569405
更新日期：1989-01-01 00:00:00
abstract：:A 31-year-old woman presented with painful swelling in the right paravertebral region that had been present for 2 years. Radiography and CT revealed an area of increased density due to multiple calcifications localized at the fourth lumbar vertebra. Histological examination revealed that the lesion consisted of nodule...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050403
更新日期：1998-07-01 00:00:00
abstract：:Two cases of osteogenic sarcoma with skeletal muscle metastases are described. A 40-year-old woman presented with progressive swelling of both calves and a soft tissue back lump. She had been diagnosed with mandibular chondroblastic osteogenic sarcoma 6 years earlier. Radiographs showed calcified masses. MRI scans and...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050521
更新日期：1999-05-01 00:00:00
