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OtherClinical Image
Open Access

A 36-year-old man with arthralgia and bone pain

Fahdah Alokaily and Reem Alkathiri
Saudi Medical Journal September 2018, 39 (9) 951-953; DOI: https://doi.org/10.15537/smj.2018.9.23589
Fahdah Alokaily
From the Division of Rheumatology (Alokaily), Department of Medicine, Prince Sultan Military Medical City, and from the College of Medicine (Alkathiri), Alfaisal University, Riyadh, Kingdom of Saudi Arabia
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  • For correspondence: [email protected]
Reem Alkathiri
From the Division of Rheumatology (Alokaily), Department of Medicine, Prince Sultan Military Medical City, and from the College of Medicine (Alkathiri), Alfaisal University, Riyadh, Kingdom of Saudi Arabia
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    Figure 1

    X-ray of the knees, tibias (a,b) and Humerus (c,d) showed bilateral mottling and heterogeneous texture of the visualized bones.

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    Figure 2

    CT of the knee and legs showed extensive intramedullary sclerosis with thick trabiculation associated with a spare areas at the metaepiphysis around the knee joints.

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    Figure 3

    Bilateral symmetrical intense radiotracer uptake of the long bones.

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    Figure 4

    Diffuse infiltration by foamy histiocytes (Black arrow) and fibrosis and rare Touton-like giant cells (white arrow).

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Saudi Medical Journal: 39 (9)
Saudi Medical Journal
Vol. 39, Issue 9
1 Sep 2018
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A 36-year-old man with arthralgia and bone pain
Fahdah Alokaily, Reem Alkathiri
Saudi Medical Journal Sep 2018, 39 (9) 951-953; DOI: 10.15537/smj.2018.9.23589

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A 36-year-old man with arthralgia and bone pain
Fahdah Alokaily, Reem Alkathiri
Saudi Medical Journal Sep 2018, 39 (9) 951-953; DOI: 10.15537/smj.2018.9.23589
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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