A case of osteopoikilosis coexisting with amyloidosis of familial Mediterranean fever

Kavukçu, Salìh; Soylu, Alper; Türkmen, Mehmet; Güneş, Dilek; Bora, Seymen; Gülay, Hüseyin

doi:10.1007/s00467-003-1312-0

Cited by 11 publications

(1 citation statement)

References 6 publications

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“…The number of reported cases of OPK coexisting with rheumatic diseases is increasing. Rheumatic diseases reported in patients with OPK include reactive arthritis 15 ) , rheumatoid arthritis 16 ) , juvenile arthritis 2 ) , discoid lupus erythematosus, spondyloarthritis 1 , 5 , 6 ) , psoriatic arthritis 17 ) , Raynaud phenomenon 1 ) , antiphospholipid syndrome, livedoid vasculitis, undifferentiated connective tissue disease 18 ) , familial Mediterranean fever 5 , 19 ) , fibromyalgia 3 , 20 ) , myofascial pain syndrome 3 ) , adhesive capsulitis 11 ) , spinal stenosis 7 , 8 , 9 ) , and De Quervain syndrome 21 ) .…”

Section: Discussionmentioning

confidence: 99%

Coexistence of osteopoikilosis with seronegative spondyloarthritis and spinal stenosis

et al. 2015

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[Purpose] Osteopoikilosis is a rare hereditary bone disease that is usually asymptomatic. It is generally diagnosed incidentally on plain radiography. The coexistence of osteopoikilosis with seronegative spondyloarthritis or spinal stenosis is rarely reported. Here, we report the case of a 27-year-old male patient with osteopoikilosis, seronegative spondyloarthritis, and spinal stenosis. [Subject] A 27-year-old male patient with buttock pain and back pain radiating to the legs. [Methods] A plain anteroposterior radiograph of the pelvis revealed numerous round and oval sclerotic bone areas of varying size. Investigation of the knee joints showed similar findings, and the patient was diagnosed with osteopoikilosis. Lumbar magnetic resonance images showed spinal stenosis and degenerative changes in his lumbar facet joints. Magnetic resonance images of the sacroiliac joints showed bilateral involvement with narrowing of both sacroiliac joints, nodular multiple sclerotic foci, and contrast enhancement in both joint spaces and periarticular areas. HLA B-27 test was negative. [Results] The patient was diagnosed with osteopoikilosis, seronegative spondyloarthritis, and spinal stenosis. Treatment included asemetasin twice daily and exercise therapy. [Conclusion] Symptomatic patients with osteopoikilosis should be investigated for other possible coexisting medical conditions; this will shorten the times to diagnosis and treatment.

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