Microfoci of avascular necrosis in sickle cell anemia: Pathophysiology of the dot dash pattern

B. M. Rothschild*, J. I. Sebes, I. Hershkovitz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Objective. Definition of the nature of calcaneal 'erosions' in sickle cell anemia. Methods. Skeletons of individuals demonstrated to have had sickle cell anemia were examined for the presence of calcaneal surface discontinuity. Results. Calcaneal and articular surface osseous microinfarction were identified macroscopically and confirmed radiologically by CT. Conclusions. This appears to be the first macroscopic identification of calcaneal and articular surface osseous microinfarction in sickle cell anemia and explains the osseous pathology that appears so unique to sickle cell anemia.

Original languageEnglish
Pages (from-to)663-666
Number of pages4
JournalClinical and Experimental Rheumatology
Volume15
Issue number6
StatePublished - Nov 1997

Keywords

  • Avascular necrosis
  • Erosion
  • Microinfarction
  • Sickle cell anemia

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