PMC8273302_01
PMC8273302_02
(A) Normal skull radiography. (B) Anteroposterior radiography of the pelvis Symmetric radiolucency with cystic aspect in greater trochanter bilaterally. (C) Anteroposterior radiography of upper limbs- heterogeneous bone density in humeral heads bilaterally with the presence of sclerosis and radiolucent areas. (D) Anteroposterior radiography of lower limbs-pseudo-poikilosis (patchy sclerotic lesions) and radiolucency in distal metaphysis of right and left femur and in proximal region of tibia bilaterally.
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f1
There was no thickening of the cranial vault ( Figure 1A ). Upper-limb x-rays showed heterogeneous density in humeral heads bilaterally, with the presence of sclerosis and radiolucent areas ( Figure 1C ). This pattern was also present in pelvis, distal metaphysis of right and left femur and in proximal region of tibia ( Figures 1B, D ). Symmetric radiolucency with cystic aspect was demonstrated in greater trochanter bilaterally ( Figure 1B ).
Bone tissue with signs of remodeling. HE stain, magnification 200x... See cement lines (arrows).
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f2
There were no of signs of osteoclastic activity nor neoplasm ( Figure 2 ).