Regional transient osteoporosis of the foot and vitamin C deficiency

We describe the clinical presentation and diagnostic tests of a patient with regional transient osteoporosis (RTO) of the foot. This patient presented with a 4-month history of left-foot pain, nonpitting edema, and brownish discolorations of both feet. He had a history of tobacco abuse, alcohol abus...

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Veröffentlicht in:Clinical rheumatology 2007-06, Vol.26 (6), p.976-978
Hauptverfasser: Rodriguez, Sandra, Paniagua, Oscar, Nugent, Kenneth M, Phy, Michael P
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container_title Clinical rheumatology
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creator Rodriguez, Sandra
Paniagua, Oscar
Nugent, Kenneth M
Phy, Michael P
description We describe the clinical presentation and diagnostic tests of a patient with regional transient osteoporosis (RTO) of the foot. This patient presented with a 4-month history of left-foot pain, nonpitting edema, and brownish discolorations of both feet. He had a history of tobacco abuse, alcohol abuse, and malnutrition. Radiological studies revealed severe osteopenia in the feet, and a MRI revealed bone marrow edema. The bone biopsy was consistent with RTO. This patient also had vitamin C deficiency. This case suggests a link between vitamin C deficiency and RTO, a hypothesis supported by our review of relevant literature on osteoporosis and vitamin C.
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subjects Ascorbic acid
Ascorbic Acid - therapeutic use
Ascorbic Acid Deficiency - complications
Ascorbic Acid Deficiency - physiopathology
Biopsy
Bone Diseases, Metabolic
Bone marrow
Dietary Supplements
Drug abuse
Edema
Feet
Foot Bones - diagnostic imaging
Foot Bones - physiopathology
Foot diseases
Humans
Magnetic resonance imaging
Male
Malnutrition
Middle Aged
Nutrient deficiency
Osteopenia
Osteoporosis
Osteoporosis - diagnostic imaging
Osteoporosis - etiology
Osteoporosis - physiopathology
Patients
Radiography
Vitamin C
title Regional transient osteoporosis of the foot and vitamin C deficiency
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