Charity Huang, T Zehrer, L Mueller, Colin Michie


Sickle cell disease is associated with damage to bony tissues, particularly in adults (1-3). The severity of the sickling condition, as well as genetic determinants such as that for annexin and steroid hormones such as vitamin D are being investigated epidemiologically to ascertain their relative significance. Most bony changes are not visible on clinical examination. We present an image from a teenager who presented with back pain and radiographic changes in his vertebrae.


Vertebra, Sickle cell, Fish-mouth, Step vertebra, H-shaped vertebra, bone Infarction

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