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Published on: October 16, 2013
Histiocytosis X with scoliosis and osteolysis
1Department of Orthopaedics, University of Iowa Hospitals, Iowa City 52242.
Histiocytosis X can exhibit a variety of musculoskeletal manifestations. Nonetheless, this case exhibits two striking features. Severe progressive scoliosis and massive osteolysis of both femoral shafts occurred in conjunction with the Hand-Schüller-Christian form of histiocytosis X. The scoliosis was treated successfully by posterior fusion and instrumentation. The clinical features of histiocytosis X are reviewed. Speculation as to the etiology of these features is presented.
Histiocytosis X can exhibit a variety of musculoskeletal manifestations. Nonetheless, this case exhibits two striking features. Severe progressive scoliosis and massive osteolysis of both femoral shafts occurred in conjunction with the Hand-Schüller-Christian form of histiocytosis X. The scoliosis was treated successfully by posterior fusion and instrumentation. The clinical features of histiocytosis X are reviewed. Speculation as to the etiology of these features is presented.
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