. The American journal of roentgenology, radium therapy and nuclear medicine . ok on Pathologydescribes osteomalacia as being a diseaseVn adults which resembles very closely thatof rickets in childhood. From the pointof view of the roentgenologist there aretwo distinct types of this disease, both ofwhich occur in childhood as well as in adultlife, and hyper- and hypoplastic malacia. 5o8 Osteomalacia In adults, the hypoplastic form is seenmore often in the female and is likely tooccur during, or shortly after, complaint which brings the patientto the roentgenologist is usually tha
. The American journal of roentgenology, radium therapy and nuclear medicine . ok on Pathologydescribes osteomalacia as being a diseaseVn adults which resembles very closely thatof rickets in childhood. From the pointof view of the roentgenologist there aretwo distinct types of this disease, both ofwhich occur in childhood as well as in adultlife, and hyper- and hypoplastic malacia. 5o8 Osteomalacia In adults, the hypoplastic form is seenmore often in the female and is likely tooccur during, or shortly after, complaint which brings the patientto the roentgenologist is usually that offracture. There is an absence of sufficienttrauma. The bone presents an indistinct,hazy appearance, with lack of contrastbetween it and the soft tissues. Themedullary cavity is increased and thecortex thinned. Often there will be pres-ent periosteal changes or callous formationwhich gives the appearance of the pro-liferation seen in periosteal sarcoma. The bone most commonly involved is thefemur. In fact, some authors state thatthe process is always below the belt Fig. 2. The Hypoplastic Type of Osteomalacia inAdults. Fracture has occurred and there is considerablecallous formation present. The diagnosis in this casewas based on the pathological report. The lesion may be single but is usuallymultiple. It affects the shaft of the long!bones, the bones of the pelvis and spine,but does not involve the joints. The gen-;eral appearance in the cases which I have!had an opportunity to observe has beenthat of osteomyelitis. In fact, that is ^theinterpretation usually given.
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