Radiology and morphology of spotted bone: A case report with review of literature

Spotted bone disease (osteopoikilosis) is a rare type of osteosclerotic dysplasia usually noticed as an incidental finding during routine radiological investigations. Here we report a case of a male patient who had chronic history of right wrist pain and low backache. His radiographs showed unique morphological features of the bones. The upper end of femora, pelvic bones showed multiple small discrete, round and oval, radiodense lesions which were symmetrical in distribution. The lesions were more obvious at the epiphysis and metaphysis. The case was finally diagnosed to have spotted bone disease. In this report we emphasize on the radiological anatomy of this condition with clinical highlights. The importance of its differential diagnosis is stressed with relevant review of the literature. We believe that this report is enlightening not only for orthopedicians and radiologists, but also for the clinical anatomists and researchers in the field of medicine.