Case Number : Case 316 Posted By: Guest

Phillip McKee - Overseas consultations (Cave Creek, Arizona, USA) Wrote:

Well done Mona. This is a gouty tophus fixed in alcohol. The bone is from an adjacent piece of normal bone and is a red herring.

Submitted on 25/08/2011 12:31
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Mona Abdel Halim - Dermatology Department, Faculty of medicine, Cairo University (Egypt) Wrote:

I think I am wrong,the age of the patient is against FOP. What about gouty tophi fixed in alcohol (not formalin) with secondary ossification??????

Submitted on 25/08/2011 11:27
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Mona Abdel Halim - Dermatology Department, Faculty of medicine, Cairo University (Egypt) Wrote:

This is a very difficult case. I did not percieve the brown black structures as Fungi as Dr Andrew said, but it is a nice idea!! I percieved them first as foreign material, may be traumatic tatoo, could it be dystrophic calcification?? (not darkly basophilic??).. The only thing I am sure of here is that we have a back ground of cutaneous ossification, we have osteoid tissue and I think many osteoblasts, In the view of the clinical presentation as painful nodules, could it be fibrodysplasia ossificans progressiva with ?? dystrophic calicfication?? I am totally uncertain!!!!!!!!!!

Submitted on 25/08/2011 11:14
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ANDREW DANCKWERTS - NHLS / WITS UNIVERSITY (JOHANNESBURG, RSA) Wrote:

CHRONIC DEEP FUNGAL OSTEOMYELITIS. THE ORGANISMS APPEAR TO FILAMENTOUS AND BRANCHED - POSSIBLY ACTINOMYCOSIS. DEFINITIVE AETIOLOGY IS BEST DEFERRED TO FUNGAL CULTURES.

Submitted on 25/08/2011 05:24
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