case_images: PMC9753944_01
case_images: The patient presented with a draining sinus tract on the cheek below the lateral half of the right eye.
case_images: toj-22-0018-figure1.jpg
case_images: PMC9753944_01_toj-22-0018-figure1.jpg
case_images: f1
case_images: On examination, the patient appeared pale with a draining sinus tract on his cheek below the lateral half of the right eye (Figure 1), frontal bossing, bilateral horizontal nystagmus, and poor dentition with carious teeth.
case_images: Chest x-ray shows a generalized increase in bone density in the clavicles, scapulae, and ribs (arrows).
case_images: toj-22-0018-figure2.jpg
case_images: PMC9753944_01_toj-22-0018-figure2.jpg
case_images: f2
case_images: Chest x-ray revealed a generalized increase in bone density in the visualized clavicles, scapulae, and ribs (Figure 2).
case_images: Skull radiographs show (A) periorbital sclerosis (arrows) and (B) thickening of the calvarium and the visualized cervical vertebrae (arrows).
case_images: toj-22-0018-figure3.jpg
case_images: PMC9753944_01_toj-22-0018-figure3.jpg
case_images: f3
case_images: The diffuse osteosclerosis prompted a skeletal survey that showed periorbital sclerosis (Figure 3A). Lateral radiograph of the skull also showed thickening of the calvarium and the visualized cervical vertebrae (Figure 3B).
case_images: Radiographs of the hands show alternating bands of radiodense and radiolucent lines at the distal metaphyses of the radii and ulnae (arrows).
case_images: toj-22-0018-figure4.jpg
case_images: PMC9753944_01_toj-22-0018-figure4.jpg
case_images: f4
case_images: Alternating radiodense and radiolucent lines were seen at the distal metaphyses of the radii and ulnae (Figure 4).
case_images: Erlenmeyer flask deformities are seen at the distal ends of (A) the radii (arrows) and (B) the femora (arrows).
case_images: toj-22-0018-figure5.jpg
case_images: PMC9753944_01_toj-22-0018-figure5.jpg
case_images: f5
case_images: Erlenmeyer flask deformities, characterized by reduced constriction of the diaphyses, were seen at the distal ends of the radii (Figure 5A) and the femora (Figure 5B).
case_images: (A) Anteroposterior view of the spine shows a bone-within-a-bone appearance in the iliac blades (lower arrows) and a sandwich vertebrae appearance (upper arrow). (B) Lateral view of the spine shows a sandwich vertebrae appearance (arrow).
case_images: toj-22-0018-figure6.jpg
case_images: PMC9753944_01_toj-22-0018-figure6.jpg
case_images: f6
case_images: A bone-within-a-bone appearance was visible in the iliac blades, in addition to a sandwich vertebrae appearance because of sclerosis of the vertebral endplates (Figure 6).