A 72-year-old woman presents with bone pain and tenderness in her lower extremities and left clavicle. Laboratory studies reveal elevated serum alkaline phosphatase. X-ray spine shows
Ans. D. Osteitis fibrosa cystica* The patient in this question has hyperparathyroidism from lab derangements.* The Image shows osteosclerosis with greater density at the endplates leading to multiple contiguous levels to produce an alternating sclerotic- lucent-sclerotic appearance.* This simulates the transverse bands of a rugby jersey.* These findings are seen in hyperparathyroidism and the bone changes are called osteitis cystica fibrosa.
Metabolic Bone Disease
Paget's disease of the bone
Osteomalacia
Osteoporosis
Osteitis fibrosa cystica
Osteitis fibrosa cystica