Question 47
{"accessible":false,"alternatives":[{"id":221,"text":"acromegaly"},{"id":224,"text":"mastocytosis"},{"id":222,"text":"osteogenesis imperfecta"},{"id":223,"text":"osteopetrosis"},{"id":225,"text":"SAPHO"}],"archived":false,"correctAlternativeId":223,"explanation":"\u003cp\u003e\u003ca href=\"/articles/osteopetrosis\"\u003eOsteopetrosis\u003c/a\u003e, when mild, may present in the teens or young adulthood, and anemia and stress or pathologic fractures are common.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003ca href=\"/articles/osteogenesis-imperfecta-classification-1\"\u003eOsteogenesis imperfecta\u003c/a\u003e would have diffuse osteopenia.\u003c/p\u003e\u003cp\u003e\u003ca href=\"/articles/acromegaly\"\u003eAcromegaly\u003c/a\u003e would not show diffuse osteosclerosis, especially in a 23 year old.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003ca href=\"/articles/mastocytosis\"\u003eMastocytosis\u003c/a\u003e would most likely have more concerning and/or broad symptoms with systemic involvement (ie involving bone)\u003c/p\u003e\u003cp\u003e\u003ca href=\"/articles/sapho-syndrome\"\u003eSAPHO\u003c/a\u003e would not be diffuse.\u0026nbsp;\u003c/p\u003e","id":47,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1836","nextQuestionPath":"/articles/acromegaly/questions/45","relatedArticles":[{"id":11027,"title":"Mastocytosis","link":"/articles/mastocytosis?lang=us"},{"id":8197,"title":"Osteopetrosis","link":"/articles/osteopetrosis?lang=us"},{"id":8415,"title":"SAPHO syndrome","link":"/articles/sapho-syndrome?lang=us"}],"alsoUsedIn":[{"id":428,"kind":"Course","title":"Radiology Review Course - Melbourne - page 428","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/428"},{"id":428,"kind":"Course","title":"Radiology Review Course - Melbourne - page 428","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/428"},{"id":428,"kind":"Course","title":"Radiology Review Course - page 428","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/428"},{"id":638,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 638","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/638"},{"id":638,"kind":"Course","title":"2020 Virtual Conference Private Use - page 638","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/638"}],"stem":"\u003cp\u003eA 23 year old male presents for right hip pain and general fatigue. Laboratory analysis reveals moderate anemia. Radiographic evaluation of the right hip reveals diffuse osteosclerosis and a stress fracture of the femoral neck. Which of the following is the most reasonable diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/47"}],"attemptsPercentages":[{"alternativeId":"222","percentage":6},{"alternativeId":"224","percentage":24},{"alternativeId":"225","percentage":29},{"alternativeId":"223","percentage":38},{"alternativeId":"221","percentage":3}],"promptToLogin":false,"questionManager":false,"articleId":"acromegaly"}