“… 8 The lack of evidence for this rare condition became clear after a search of the English-language literature produced only sporadic case reports. Unlike the few reports we found in the English-language literature, 2 , 3 , 4 , 5 , 6 , 7 , 8 our patient did not show any sign of hypercalcemia and the anatomical features of the bone lesion were typical not of a pure osteolytic lesion, but of an endomedullary permeative lesion with periostium flogistic involvement. It is also a peculiar event because its distal appendicular skeleton location is a rare eventuality that is described mainly at the axial level.…”