• Skeletal radiology · Jul 2001

    Case Reports

    Pseudo-osteomyelitic crisis upon presentation of Gaucher disease.

    • J S Weisstein, L S Steinbach, C A Diamond, S J Huang, and R J O'Donnell.
    • Department of Orthopaedic Surgery, University of California, San Francisco, 94115-1652, USA.
    • Skeletal Radiol. 2001 Jul 1; 30 (7): 407-10.

    AbstractWe report on a 4-year-old boy adopted from Paraguay who presented with an acute onset of thigh pain. Initial clinical, imaging, and histopathologic findings suggested florid osteomyelitis. However, the development of pancytopenia on intravenous antibiotics prompted further investigation and the ultimate diagnosis of Gaucher disease. In retrospect, characteristic changes on conventional radiographic and MR images, as well as growth of a contaminant organism, pointed to the diagnosis of pseudo-osteomyelitis rather than osteomyelitis.

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