Tuesday, June 12, 2012

Ivory Vertebra: Differential Diagnosis #25

Today's Daily Diff is for a homogeneously sclerosed vertebral body, also known as an ivory vertebra. Such sclerosis can occur due to benign or malignant processes. While neurologic involvement is not necessary, the mnemonic LIMP can be used to recall the most common causes:

DiseaseNotes
LLymphomausually Hodgkin's lymphoma
IInfection / idiopathic
MMetastatic disesaepeds: neuroblastoma, medulloblastoma; adults: breast, prostate
PPaget's diseaseblastic phase

Ivory vertebra in Hodgkin's Lymphoma
Source: Radiographics