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Images in rheumatology
Clinical image: atypical calcification of dorsal spine
  1. Hélène Gouze1,2,
  2. Robert Carlier3,4,
  3. Maxime Breban5,6,
  4. Adrien Felter3
  1. 1 Rheumatology Department, Hôpital Ambroise-Pare, Boulogne-Billancourt, France
  2. 2 Centre for Research in Epidemiology and Population Health, U1018, Paris Saclay University, CESP, Villejuif, France
  3. 3 APHP, GHU Paris Saclay, DMU Smart Imaging, Radiology Department, Ambroise Paré/Raymond Poincaré Teaching Hospitals, Boulogne-Billancourt/Garches, Paris, France
  4. 4 End-iCap, UMR1179, Inserm, UVSQ/Paris Saclay University, Montigny-le-Bretonneux, France
  5. 5 Infection & Inflammation, UMR1173, Inserm, UVSQ/Paris Saclay University, Montigny-le-Bretonneux, France
  6. 6 Laboratoire d’Excellence Inflamex, Paris-Centre University, Paris, France
  1. Correspondence to Dr Hélène Gouze, Rheumatology department, Hôpital Ambroise-Pare, 92100 Boulogne-Billancourt, Île-de-France, France; helene.gouze{at}aphp.fr

https://doi.org/10.1136/ard-2023-224138

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    A previously healthy 46-year-old man presented with constant and awakening dorsal pain and fever for 5 days. There was no other pain, digestive disorder or sign of infection preceding the symptoms. Clinical examination revealed stiffness and pain on mobilisation of the dorsal spine in all planes. Temperature was of 38.7°C and no other sign of infectious disease was present. Standard laboratory examinations showed an elevation of serum C reactive protein level at 81 mg/L (normal rate <5 mg/L). Procalcitonin serum level was normal and repeated blood cultures were negative.

    Thoracic spine X-rays showed T7–T8 …

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    Footnotes

    • Handling editor Josef S Smolen

    • Contributors HG and AF prepared the clinical image and the medical description of the case. All the authors were in charge of the patient during his hospitalisation and provided information on the patient’s evolution. HG, RC, MB and AF discussed the manuscript and contributed to the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.