Abstract
A case of Waldenström’s macroglobulinemia with radiographic features of fibrogenesis imperfecta ossium is presented. The case raises the possibility that these radiographic findings might be more common in Waldenström’s macroglobulinemia than previously appreciated, and illustrates the need for bone biopsy to establish a definitive diagnosis of fibrogenesis imperfecta ossium.
References
Waldenström J. Incipient myelomatosis an “essential” hyperglobulinemia with fibrinogenopenia—a new syndrome. Acta Med Scand. 1944;117:216–47.
Resnick D. Diagnosis of Bone and Joint Disorders. 4th ed. Philadelphia: Saunders; 2002.
Welton J, Walker SR, Sharp GC, Herzenberg LA, Wistar Jr R, Creger WP. Macroglobulinemia with bone destruction. Am J Med. 1968;44(2):280–8.
Vermess M, Pearson KD, Einstein AB, Fahey JL. Osseous manifestations of Waldenström’s macroglobulinemia. Radiology. 1972;102(3):497–504.
Rothschild BM, Ruhli F, Rothschild C. Skeletal clues apparently distinguishing Waldenström’s macroglobulinemia from multiple myeloma and leukemia. Am J Human Biol. 2002;14(4):532–7.
Carr AJ, Smith R, Athanasou N, Woods CG. Fibrogenesis imperfecta ossium. J Bone Joint Surg Br. 1995;77(5):820–9.
Sissons HA. Fibrogenesis imperfect ossium (Baker’s disease): a case studied at autopsy. Bone. 2000;27(6):865–73.
Stanley P, Baker SL, Byers PD. Unusual bone trabeculation in a patient with macroglobulinemia simulating fibrogenesis imperfecta ossium. Br J Radiol. 1971;44(520):305–13.
Baker SL, Dent CE, Friedman M, Watson L. Fibrogenesis imperfecta ossium. J Bone Joint Surg. 1966;48(4):804–25.
Baker SL. Fibrogenesis imperfecta ossium: a generalized disease of bone characterized by defective formation of the collagen fibers of the bone matrix. J Bone Joint Surg Br. 1956;38-B(1):378–417.
Stamp TC, Byers PD, Ali SY, Jenkins MV, Willoughby JM. Fibrogenesis imperfecta ossium: remission with melphalan. Lancet. 1985;1(8428):582–3.
Ralphs JR, Stamp TC, Dopping-Hepenstal PJ, Ali SY. Ultrastructural features of the osteoid of patients with fibrogenesis imperfecta ossium. Bone. 1989;10(4):243–9.
Lafage-Proust MH, Schaeverbeke T, Dehais J. Fibrogenesis imperfecta ossium: ineffectiveness of melphalan. Calcif Tissue Int. 1996;59(4):240–4.
Wang CS, Steinbach LS, Campbell JB, Hayashi G, Sangwook TY, Johnston JO. Fibrogenesis imperfecta ossium: imaging correlation in three new patients. Skeletal Radiol. 1999;28(7):390–5.
Pinto F, Bonucci E, Mezzelani P, Cetta G, De Sandre G. Fibrogenesis imperfecta ossium: clinical, biochemical and Ultrastructural investigations. Ital J Orthop Traumatol. 1981;7(3):371–85.
Stoddart PGP, Wickremaratchi T, Hollingworth P, Watt I. Fibrogenesis imperfecta ossium. Br J Radiol. 1984;57(680):744–51.
Connor R. Case of the season. Fibrogenesis imperfect ostium. Semin Roentgenol. 1985;20(4):325–6.
Coursey C, Weber T, Dodd L, Martinez S. Fibrogenesis imperfect ossium: MR imaging of the axial and appendicular skeleton and correlation with a unique radiographic appearance. Skeletal Radiol. 2007;36(11):1077–84.
Thomas Jr WC, Moore TH. Fibrogenesis imperfect ossium. Trans Am Clin Climatol Assoc. 1969;80:54–62.
Acknowledgments
The authors thank the Marshfield Clinic Research Foundation Office of Scientific Writing and Publications for assistance with this case report.
Conflict of Interest
The authors declare that they have no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Epperla, N., McKiernan, F.E. & Kenney, C.V. Radiographic findings in Waldenström’s macroglobulinemia resembling fibrogenesis imperfecta ossium (FIO): A case report. Skeletal Radiol 43, 381–385 (2014). https://doi.org/10.1007/s00256-013-1734-0
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00256-013-1734-0