Summary
A 72-year-old woman was admitted in 1984 for painful protrusive osteoarthritis of the left hip diagnosed as systemic mastocytosis with bone lesions and clinical features of intestinal malabsorption but no clinical skin lesion. The total hip replacement, refused in a first step because of the bone pathology, was carried out two years later. Signs of loosening appeared after one year. In 1990, following a traumatic bicondylar fracture of the left knee, an osteosynthesis was carried out. Ten days later, a shaft pathologic fracture of the femur above the osteosynthesis plate implied another open reduction. Two and a half years later, the patient is able to walk short distances, using walking sticks, and lives at home receiving social assistance.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Travis, W.D., Li, C.-Y., Bergstralh, E.J., Yam, L.T., Swee, R.G. Systemic Mast Cell Disease. Analysis of 58 cases and Literature Review. Medicine (Baltimore) 1988, 67, 6, 345–368.
Grardel, B., Hardouin, P. Mastocytose et manifestations osseuses. Rev Rhum Mal Ostéoartic 1992, 59, 1, 57–63.
de Vernejoul, M.-C., de Gennes, C. Mastocytose osseuse. L'actualité rhumatologique (Expansion scientifique française) 1991, 130–136.
Macro, M., Reman, O., Courtheoux, F., Troussard, X., Tillet, I., Galateau, F., Leporrier, M., Loyau, G. Mastocytose systémique, polymorphisme de l'atteinte osseuse: A propos de trois cas dont deux avec ostéocondendation diffuse. Rev Rhum Mal Ostéoartic 1990, 57, 9, 653–660.
Gagnon, J.H., Kalz, F., Kadri, A.M. Mastocytosis: unusual manifestations; clinical and radiological changes. Can Med Assoc J 1975, 112, 1329–1332.
Coindre, J.M., Goussot, J.F., Hoerni-Simon, G., de Mascarel, I., de Mascarel, A., Trojani, M. Ostéoporose mastocytaire sans atteinte cutanée. A propos d'un cas avec étude histomorphométrique sur os non décalcifié. Arch Anat Cytol Path 1983, 31, 6, 377–381.
Chines, A., Pacifici, R., Avioli, L.V., Teitelbaum, S.L., Korenblat, P.E. Systemic mastocytosis presenting as osteoporosis: a clinical and histomorphometric study. J Clin Endocrinol Metab 1991, 72, 140–144.
Buchon, R., Schoenenberger, P., Vicens, J.L., Flageat, J. Atteinte osseuse à prédominance ostéolytique d'une mastocytose systémique — cas clinique. J Radiol 1992, 73, 8–9, 443–449.
de Gennes, C., Kuntz, D., de Vernejoul, M.-C. Bone mastocytosis. A report of nine cases with a bone histomorphometric study. Clin Orthop 1992, 279, 281–291.
Roberts, L.J., Fields, J.P., Oates, J.A. Mastocytosis without urticaria pigmentosa: a frequently unrecognized cause of recurrent syncope. Trans Assoc Am physicians 1982, 95, 36–41.
Prier, A. L'ostéoporose mastocytaire. Mises à jour de Rhumatologie 1980, II, 2, 15–18.
Barrière, H., Dreno, B., Pecquet, C., Le Bodic, M.F., Bolze, J.L. Mastocytose systémique et malabsorption intestinale. Sem Hop Paris 1983, 42, 2925–2931.
Bizouarn, P., Boutin, J., Ramée, M.P., Bourel, M. Faits cliniques et Lettres — Ascite chronique au cours d'une mastocytose systémique. Ann Med Int 1990, 141, 6, 552–553.
Rafii, M., Firooznia, M., Golimbu, C., Balthazar, E. Pathologic fracture in systemic mastocytosis — Radiographic spectrum and review of the literature. Clin Orthop 1983, 180, 260–267.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Moret, H., Plihal, E. & Saudan, Y. Case report of bone mastocytosis: Total hip arthroplasty for osteoarthritis and open reduction for condylar fracture of the knee. Clin Rheumatol 13, 619–623 (1994). https://doi.org/10.1007/BF02243005
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02243005