PMC3375688_01
Whole body 99mTc-MDP bone scintigraphy. Panel A (anterior and posterior), at clinical presentation: increased focal uptake in the lumbar/thoracic spine, sacroiliac regions and hip joints consistent with multiple pseudofractures. Panel B (anterior and posterior), eight months after TDF discontinuation: absence of increased uptake.
mjhid-4-1-e2012025f1.jpg
PMC3375688_01_mjhid-4-1-e2012025f1.jpg
f1-mjhid-4-1-e2012025
The whole body 99mTc-methylene diphosphonate (99mTc-MDP) bone scintigraphy showed an increased uptake at the lumbar and thoracic spine, sacroiliac region and hip joints, consistent with multiple pseudo-fractures (figure 1, panel A). Eleven months later, the patient was free of bone and joint-related symptoms and a whole body 99mTc-MDP bone scintigraphy showed complete resolution of the OM (Figure 1, Panel B).
Dorso-lumbosacral spine X-ray: fracture deformities of D/7and of the bodies of L/2-4, in a general aspect of diffuse osteopenia.
mjhid-4-1-e2012025f2.jpg
PMC3375688_01_mjhid-4-1-e2012025f2.jpg
f2-mjhid-4-1-e2012025
The dorsal and lumbosacral spine X-ray showed diffuse osteopenia, fracture deformities of D7 and L2-L4 (Figure 2).