PMC3658233_01
Blue sclera.
imcrj-4-025f1.jpg
PMC3658233_01_imcrj-4-025f1.jpg
f1-imcrj-4-025
On physical examination the patient presented a triangular-shaped face, blue sclera (Figure 1), and short stature.
Lumbar spine X-ray (A) and computed tomography scan (B, sagittal view and C, axial view) of the spine showing diffuse low bone density.
imcrj-4-025f2.jpg
PMC3658233_01_imcrj-4-025f2.jpg
f2-imcrj-4-025
The spine X-ray and the lumbar CT-scan showed diffuse low bone density (Figure 2).
Bone scintigraphy (A, anterior view, B, posterior view) showing increased uptake in the 7th, 8th and 9th right ribs (arrows).
imcrj-4-025f3.jpg
PMC3658233_01_imcrj-4-025f3.jpg
f3-imcrj-4-025
Because of the intensity of the symptoms and the laboratory and radiological negativity for arthritis, a bone scintigraphy was done revealing signs suggestive of "old" fractures in the 7th, 8th and 9th right ribs, and lumbar vertebras (Figure 3).
PMC3658233_02