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 |
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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. |
doi_str_mv | 10.1007/s10067-006-0220-7 |
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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.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-006-0220-7</identifier><identifier>PMID: 16538389</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>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</subject><ispartof>Clinical rheumatology, 2007-06, Vol.26 (6), p.976-978</ispartof><rights>Clinical Rheumatology 2006.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-7ad20e7449821af111d6778b88fb56f0ea4d7782d8dd62e8cbdfef6ac1965e293</citedby><cites>FETCH-LOGICAL-c326t-7ad20e7449821af111d6778b88fb56f0ea4d7782d8dd62e8cbdfef6ac1965e293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16538389$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodriguez, Sandra</creatorcontrib><creatorcontrib>Paniagua, Oscar</creatorcontrib><creatorcontrib>Nugent, Kenneth M</creatorcontrib><creatorcontrib>Phy, Michael P</creatorcontrib><title>Regional transient osteoporosis of the foot and vitamin C deficiency</title><title>Clinical rheumatology</title><addtitle>Clin Rheumatol</addtitle><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.</description><subject>Ascorbic acid</subject><subject>Ascorbic Acid - therapeutic use</subject><subject>Ascorbic Acid Deficiency - complications</subject><subject>Ascorbic Acid Deficiency - physiopathology</subject><subject>Biopsy</subject><subject>Bone Diseases, Metabolic</subject><subject>Bone marrow</subject><subject>Dietary Supplements</subject><subject>Drug abuse</subject><subject>Edema</subject><subject>Feet</subject><subject>Foot Bones - diagnostic imaging</subject><subject>Foot Bones - physiopathology</subject><subject>Foot diseases</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Middle Aged</subject><subject>Nutrient deficiency</subject><subject>Osteopenia</subject><subject>Osteoporosis</subject><subject>Osteoporosis - diagnostic imaging</subject><subject>Osteoporosis - etiology</subject><subject>Osteoporosis - physiopathology</subject><subject>Patients</subject><subject>Radiography</subject><subject>Vitamin C</subject><issn>0770-3198</issn><issn>1434-9949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkEtLAzEUhYMoWqs_wI0EF-6ieczksZT6hIIgug6ZSaIpM5M6yQj996a0ILg5lwvnHDgfABcE3xCMxW0qygUqgjClGIkDMCMVq5BSlToEMywERowoeQJOU1phjKlU5BicEF4zyaSagfs39xniYDqYRzOk4IYMY8ouruMYU0gwepi_HPQxZmgGC39CNn0Y4AJa50NbAu3mDBx50yV3vr9z8PH48L54RsvXp5fF3RK1jPKMhLEUO1FVSlJiPCHEciFkI6Vvau6xM5UtP7XSWk6dbBvrneemJYrXjio2B9e73vUYvyeXsu5Dal3XmcHFKWmBKyYxqYvx6p9xFaexrExaSkJFIUaLiexMbVmaRuf1egy9GTeaYL3lq3d8dRG95atFyVzui6emd_YvsQfKfgE_dHVq</recordid><startdate>200706</startdate><enddate>200706</enddate><creator>Rodriguez, Sandra</creator><creator>Paniagua, Oscar</creator><creator>Nugent, Kenneth M</creator><creator>Phy, Michael P</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200706</creationdate><title>Regional transient osteoporosis of the foot and vitamin C deficiency</title><author>Rodriguez, Sandra ; Paniagua, Oscar ; Nugent, Kenneth M ; Phy, Michael P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-7ad20e7449821af111d6778b88fb56f0ea4d7782d8dd62e8cbdfef6ac1965e293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Ascorbic acid</topic><topic>Ascorbic Acid - therapeutic use</topic><topic>Ascorbic Acid Deficiency - complications</topic><topic>Ascorbic Acid Deficiency - physiopathology</topic><topic>Biopsy</topic><topic>Bone Diseases, Metabolic</topic><topic>Bone marrow</topic><topic>Dietary Supplements</topic><topic>Drug abuse</topic><topic>Edema</topic><topic>Feet</topic><topic>Foot Bones - diagnostic imaging</topic><topic>Foot Bones - physiopathology</topic><topic>Foot diseases</topic><topic>Humans</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Middle Aged</topic><topic>Nutrient deficiency</topic><topic>Osteopenia</topic><topic>Osteoporosis</topic><topic>Osteoporosis - diagnostic imaging</topic><topic>Osteoporosis - etiology</topic><topic>Osteoporosis - physiopathology</topic><topic>Patients</topic><topic>Radiography</topic><topic>Vitamin C</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodriguez, Sandra</creatorcontrib><creatorcontrib>Paniagua, Oscar</creatorcontrib><creatorcontrib>Nugent, Kenneth M</creatorcontrib><creatorcontrib>Phy, Michael P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodriguez, Sandra</au><au>Paniagua, Oscar</au><au>Nugent, Kenneth M</au><au>Phy, Michael P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Regional transient osteoporosis of the foot and vitamin C deficiency</atitle><jtitle>Clinical rheumatology</jtitle><addtitle>Clin Rheumatol</addtitle><date>2007-06</date><risdate>2007</risdate><volume>26</volume><issue>6</issue><spage>976</spage><epage>978</epage><pages>976-978</pages><issn>0770-3198</issn><eissn>1434-9949</eissn><abstract>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.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>16538389</pmid><doi>10.1007/s10067-006-0220-7</doi><tpages>3</tpages></addata></record> |
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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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