An 8-year-old boy presenting with fever, neck pain, and torticollis was eventually diagnosed as having fibrodysplasia ossificans progressiva (FOP). The initial bone scan was interpreted as being suggestive of vertebral osteomyelitis. Subsequent computerized tomographic studies (CT scan), however, demonstrated paravertebral soft-tissue calcification adjacent to, but not involving, intact cervical vertebrae. The acute process of FOP was thereby distinguished from that of osteomyelitis by use of CT scan.
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References
1.
McKusick VAHeritable disorders of connective tissue. 4th Ed. St. Louis, CV Mosby Co.1972, pp 687-733.
2.
Smith R.Myositis ossificans progressiva: a review of current problems. Semin Arthritis Rheum1975;4: 369-80.
3.
Connor JM, Evans Dap.Fibrodysplasia ossificans progressiva: the clinical features and natural history of 34 patients. J Bone Joint Surg1982;64B:76-83.
4.
Thickman D., Bonakdar-pour A., Clancy M., et al. Fibrodysplasia ossificans progressiva. Am J Radiol1982;139:935-41.
5.
Heyman S.Bone Scans in children with osteomyelitis. Clin Pediatr1980;19:600-1.
6.
Howie DW, Savage JP, Wilson TG, et al. The technetium phosphate bone scan in the diagnosis of osteomyelitis in childhood. J Bone Joint Surg1983;65A: 431-7.
7.
Rosenthal DICT in bone and soft tissue neoplasm: application and pathologic correlation. CRC Crit Rev Diagn Imagining1982;18:243-78.
8.
Larde D., Mathieu D., Frija J., et al. Vertebral osteomyelitis: disk hypodensity on CT. Am J Radiol1982;139:963-7.
9.
Weiss IW, Fisher L., Phang JMDiphosphonate therapy in a patient with myositis ossificans progressiva . Ann Intern Med1971;74:933-6.
10.
Zasloff M.Personal Communication. National Institute of HealthBethesda, MD.
