Skin and Bone Lesions in an Adolescent

  title={Skin and Bone Lesions in an Adolescent},
  author={Maria Luisa Garcia-melgares and Ainara Echeto Garc{\'i}a and I. Bevi{\'a} Febrer},
The only finding in the complete blood count and serum biochemistry was an alkaline phosphatase value of 322 U/L (a normal value for the age of the patient). The radiologic study (bone scan) performed at 4 years of age showed no abnormalities; however, a repeat scan at 13 years showed multiple, small, round foci of bone sclerosis, situated symmetrically in the carpal bones (Figure 2), the tarsi, and the pelvis.