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Z Rheumatol. 2007 May;66(3):255-6.

[Painful and swollen ankles: no arthritis].

[Article in German]

Author information

1
Internistisch-Rheumatologische Gemeinschaftspraxis, J├╝rgensallee 44, 22609 Hamburg. reinhold-keller@rheuma-spezialisten.de

Abstract

A 53 year old male patient suffering from painful and swollen ankles showed a large enhancement on skeletal scintigraphy. The DXA bone density values for the neck of the femur and the lumbar vertebrae indicated severe osteoporosis. The conventional diagnostic x-ray revealed stress fractures of both distal tibiae (Looser's transformation zones). The patient had been treated with glucocorticoids for many years because of a liver transplantation. A further risk factor was impaired renal function with a hypovitaminosis D3 and secondary hyperparathyroidism.

PMID:
17401569
DOI:
10.1007/s00393-007-0166-4
[Indexed for MEDLINE]

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