PJNMed |

Case Report

Volume: 13 | Issue: 1 | Published: Mar 21, 2023 | Pages: 27 - 30 | DOI: 10.24911/PJNMed.175-1668153490

Osteopoikilosis mimicking osteoblastic bone mets: A Case report

Authors: Mariha Aslam , Owais Bin Qadeer Gill , Shahar Bano , Muhammad Babar Imran , Shahzad Afzal

Authors

Mariha Aslam

Post Graduate Resident (Nuclear Medicine), Punjab Institute of Nuclear Medicine (PINUM) Cancer Hospital, Faisalabad, Pakistan

Owais Bin Qadeer Gill

Punjab Institute of Nuclear Medicine (PINUM) Cancer Hospital, Faisalabad, Pakistan

Shahar Bano

Post Graduate Resident (Nuclear Medicine), Punjab Institute of Nuclear Medicine (PINUM) Cancer Hospital, Faisalabad, Pakistan

Muhammad Babar Imran

Punjab Institute of Nuclear Medicine (PINUM) Cancer Hospital, Faisalabad, Pakistan

ORCID

Shahzad Afzal

Punjab Institute of Nuclear Medicine (PINUM) Cancer Hospital, Faisalabad, Pakistan

Publication History

Received: November 29, 2022

Accepted: December 28, 2022

Published: March 21, 2023

Abstract

Background: Osteopoikilosis is a benign, uncommon disorder that is inherited by the autosomal dominant gene. Multiple benign enostoses are present in this specific kind of sclerosing skeletal dysplasia, which can be mistaken for osteoblastic skeletal metastases. Case Presentation: We present here a case of 50-year-old male patient with pain in lower back for 3 months. His pelvic X-ray showed few sclerotic rounded lesions in ilium, acetabulum and proximal femur. His MRI pelvis showed T1WI and T2WI hypo intense focal lesions in ilium and acetabulum. His 99mTc MDP bone scan was done showing no focal abnormal uptake in lesion reported on pelvic X-ray and MRI. These features are suggestive of Osteopoikilosis, ruling out osteoblastic skeletal metastasis. Conclusion: Osteopoikilosis is usually an incidental finding on radiograph. Both x-ray and MRI findings can mimic skeletal metastasis, but a normal bone scan can rule out metastasis and is useful if metastatic disease is thought to be a possibility.

Keywords: Osteopoikilosis, Tc-99m MDP bone scan, Enostoses, Skeletal Scintigraphy, case report

Pubmed Style

Mariha Aslam, Owais Bin Qadeer Gill, Shahar Bano, Muhammad Babar Imran, Shahzad Afzal. Osteopoikilosis mimicking osteoblastic bone mets: A Case report. PJN Med. 2023; 21 (March 2023): 27-30. doi:10.24911/PJNMed.175-1668153490

Web Style

Mariha Aslam, Owais Bin Qadeer Gill, Shahar Bano, Muhammad Babar Imran, Shahzad Afzal. Osteopoikilosis mimicking osteoblastic bone mets: A Case report. https://www.pjnmed.epublisyst.com/articles/2041 [Access: November 08, 2025]. doi:10.24911/PJNMed.175-1668153490

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Mariha Aslam, Owais Bin Qadeer Gill, Shahar Bano, Muhammad Babar Imran, Shahzad Afzal. Osteopoikilosis mimicking osteoblastic bone mets: A Case report. PJN Med. (2023), [cited November 08, 2025]; 21 (March 2023): 27-30. doi:10.24911/PJNMed.175-1668153490

Harvard Style

Mariha Aslam, Owais Bin Qadeer Gill, Shahar Bano, Muhammad Babar Imran, Shahzad Afzal (2023) Osteopoikilosis mimicking osteoblastic bone mets: A Case report. PJN Med, 21 (March 2023): 27-30. doi:10.24911/PJNMed.175-1668153490

Chicago Style

Mariha Aslam, Owais Bin Qadeer Gill, Shahar Bano, Muhammad Babar Imran, Shahzad Afzal. "Osteopoikilosis mimicking osteoblastic bone mets: A Case report." 21 (2023), 27-30. doi:10.24911/PJNMed.175-1668153490

MLA (The Modern Language Association) Style

Mariha Aslam, Owais Bin Qadeer Gill, Shahar Bano, Muhammad Babar Imran, Shahzad Afzal. "Osteopoikilosis mimicking osteoblastic bone mets: A Case report." 21.March 2023 (2023), 27-30. Print. doi:10.24911/PJNMed.175-1668153490

APA (American Psychological Association) Style

Mariha Aslam, Owais Bin Qadeer Gill, Shahar Bano, Muhammad Babar Imran, Shahzad Afzal (2023) Osteopoikilosis mimicking osteoblastic bone mets: A Case report. , 21 (March 2023), 27-30. doi:10.24911/PJNMed.175-1668153490