Gogia Nidhi, Marwaha V, Atri S, Gulati Manpreet, Gupta Rajiva
Department of Radiology, All India Institute of Medical Sciences, New Delhi, India.
Skeletal Radiol. 2007 Jun;36 Suppl 1:S19-23. doi: 10.1007/s00256-006-0102-8. Epub 2006 Apr 7.
Fibrous dysplasia of the spine is uncommon, especially in monostotic form. Isolated vertebral involvement in polyostotic form is very rare. We report a case of polyostotic fibrous dysplasia with lesions localized to dorso-lumbar spine in a 45-year-old rheumatoid arthritis patient. No associated appendicular lesions, cutaneous manifestations or endocrinopathies were seen. The extreme rarity of this type of lesion can pose a diagnostic dilemma, and biopsy is required for diagnosis. The association with rheumatoid arthritis in our case seems to be a chance occurrence.
脊柱骨纤维异常增殖症并不常见，单骨型尤为少见。多骨型中孤立的椎体受累极为罕见。我们报告一例45岁类风湿关节炎患者的多骨型骨纤维异常增殖症，病变局限于胸腰椎。未发现相关的附属骨病变、皮肤表现或内分泌疾病。这种类型病变的极度罕见可能会造成诊断困境，诊断需要进行活检。在我们的病例中，与类风湿关节炎的关联似乎是偶然发生的。
