Multiple painless masses: periostitis deformans secondary to fluoride intoxication
April 2014
|
Skeletal Radiology
|
Chitkara M, Rackoff PJ, Beltran LS.
|
43(4):529-30, 555-6.
Diagnosis
The differential diagnosis based on the imaging findings included ossification of subperiosteal hematomas, ectopic calcification in the setting of a connective tissue disorder, and periostitis deformans secondary to fluoride intoxication. Laboratory assays were requested by the patient’s rheumatologist, which were notable for a mildly elevated alkaline phosphatase level (216 U/L, reference range=40–115 U/L) and a markedly elevated serum fluoride level (3.9 mg/L, normal range <