Abstract

A 36-yr-old male presented to the clinic with a 4-year history of painful swelling in the right distal forearm. No history of injury was reported. His X-ray showed focal cortical thickening involving the radial shaft, without soft tissue involvement (Fig. 1). MRI images confirmed the finding. Technetium-99 isotope bone scan revealed increased tracer uptake of the right distal radial/mid and proximal cortical bone. No associated abnormal soft tissue was reported. There was no scintigraphic evidence of primary bone malignancy or osseus metastasis. Oral mucosal lesions noted in the patient were identified as due to lichen planus infection.

Highlights

  • Melorheostosis is a rare mesenchymal dysplasia with characteristic candle wax dripping appearance

  • A 36-yr-old male presented to the clinic with a 4-year history of painful swelling in the right distal forearm

  • There was no scintigraphic evidence of primary bone malignancy or osseus metastasis

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Summary

Introduction

Melorheostosis is a rare mesenchymal dysplasia with characteristic candle wax dripping appearance. Vikram Muralidhar Haridas1*, Kiran Haridas2, MN Ramakanth 3, Arun Kumar4 1*Arthritis Superspeciality Center, Hubli, Karnataka, India A 36-yr-old male presented to the clinic with a 4-year history of painful swelling in the right distal forearm. His X-ray showed focal cortical thickening involving the radial shaft, without soft tissue involvement (Fig. 1).

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