As white as ivory: sclerotic vertebra in POEMS syndrome

Liapis, Konstantinos; Vlachou, Sophia; Markou, Αthina; Kakiopoulos, Georgios; Kounadi, Theodora; Anagnostopoulos, Nikolaos; Piaditis, George

doi:10.1016/s0140-6736(17)31374-0

Cited by 2 publications

(2 citation statements)

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“…4 It has also been noted in rare diseases like SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) syndrome and POEMS (polyneuropathy, organomegaly, endocrinopathy, M protein, skin lesions) syndrome. 5,6 Plain radiographs of the spine and computed tomography scan will show diffuse, homogenous sclerosis of the vertebral body, which looks like ivory, with a variable degree of involvement of the posterior vertebral elements. Magnetic resonance imaging is generally indicated to characterize the details as well as to search for other occult lesions.…”

Section: Discussionmentioning

confidence: 99%

“…It is also seen in Paget’s disease, hemangioma, osteomyelitis, primary osteosarcoma, other skeletal metastasis, sarcoidosis, Pott’s disease, and systemic mastocytosis [ 4 ]. It has also been noted in rare diseases like SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) syndrome and POEMS (polyneuropathy, organomegaly, endocrinopathy, M protein, skin lesions) syndrome [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

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A case report of ivory vertebra sign: an initial radiological manifestation of underlying abdominal malignancy

Pothiawala

2022

Clin Exp Emerg Med

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Low back pain is one of the most common presenting complaints in the emergency department, and a plain radiograph of the lumbar spine is usually the first diagnostic modality. The ivory vertebra sign refers to the radiological appearance of a smooth, white ivory-like appearance of the affected single vertebra or multiple vertebral bodies. It is sometimes the initial radiologic manifestation of a variety of infectious, neoplastic, or metabolic diseases. Subsequent computerized tomography and magnetic resonance imaging are generally indicated to characterize the details, as well as look for other occult lesions. It is therefore important for emergency physicians to be aware of this, as this will aid in the appropriate evaluation and rapid diagnosis of the underlying disorder.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%