AndreÌ D, Gouveia F, LuÃs H and Gaspar J
A 32-year-old female patient, with no personal history or habitual medication of relief, resorted to the emergency department for pain complaints following trauma to the left hemithorax, with no associated fracture. Imagiologically, the presence of symmetrical radiopaque changes affecting the joint regions at the level of the humerus, femurs and pelvic girdle was verified. Both in the objective examination and analytically, there were no changes. The patient continued to be followed up in Internal Medicine, with the diagnosis of Osteopoikilosis. This benign entity, of autosomal dominant transmission with variable penetrance, is often diagnosed by chance. It afflicts both genders and tends to appear in childhood, persisting throughout the patient's life. As a rule, they have a symmetrical distribution and affect just-articular areas of the bone skeleton.
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