Abstract

A 19-year-old man presented with back pain and limitation of motion confined to thoracolumbar area for several years of duration. There was no family history of congenital anomaly. Laboratory studies revealed no abnormality. Physical examination revealed palpable hard subcutaneous lesions over his scapula, dorsal, and lumbar spine and gluteal regions. He was referred for contrastenhanced thorax and abdomen computed tomography (CT) examination to detect potential aortic lesion because he had a Marfanoid physical appearance. The physical examination of the cardiovascular system including echocardiography and the results of CT examination for aorta was normal. However, the CT examination revealed heterotopic asymmetric ossifications of back and pelvic subcutaneous adipose tissues that extend into muscles associated with dorsolumbar scoliosis (Figs. 1–4). No additional congenital anomaly was found elsewhere in the body. On the basis of clinicoradiologic findings with normal laboratory values,

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