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Osteopathia striata, also known as Voorhoeve's Disease, is a benign autosomal dominant or sporadically inherited disorder in bone formation first described by Voorhoeve in 1924.
Typically, osteopathia striata is diagnosed based on its characteristic findings on imaging.
Osteopathia striata may be mistaken for melorheostosis, but striations in melorheostosis are much larger, broader, and unilateral, unlike the genuine osteopathia striata.
99mTc-pyrophosphate bone imaging in osteopoikilosis, osteopathia striata, and melorheostosis.
The combination between osteopoikilosis, melorheostosis and osteopathia striata (type 1) is the most frequent form of overlap syndrome [13, 26].
Osteopathia striata is another rare bone dysplasia, characterized by long hyperdense striations mainly in the metaphyses of long bones and pelvis.
Osteopathia striata with cranial sclerosis owing to WTX gene defect.
It may occur in association with other types of sclerosing bone dysplasias such as osteopoikilosis and osteopathia striata (4) and with tumor-forming disease such as tuberous sclerosis and neurofibromatosis.
Increased bone density without modifcation of bone shape Osteopetrosis precocious type Generalised AR delayed type Type 1 uniform AD intermediate type Type 2 endobones with renal tubular Generalised AR AR acidosis Similar other types Axial osteosclerosis osteomesopyknosis Focal sclerosis AD AR with bamboo hair in vertebrae/pelvis Pycnodysostosis Generalised AR Osteosclerosis Cortical AD Stanesu type thickening of long bones, defcient facial sinus development Osteopathia striata Radiodense SP XLD isolated with striations on all cranial sclerosis bones with cranial sclerosis Sponastrime Striated AR dysplasia metaphysis Melorheostosis Flowing SP hyperostosis Osteopoikilosis Radiodense spots AD Mixed sclerosing Combined pattern SP bone dysplasia 2.
The differential diagnosis includes osteoblastic bone metastasis, tuberous sclerosis, mastocytosis, melorheostosis, and osteopathia striata.
Radiologically, the differential diagnosis of OPK includes osteopathia striata, melorheostosis, tuberous sclerosis, sclerotic bone metastases, and osteoma (which may have similar clinical pictures but for which medical and orthopedic treatment may be necessary).
Overlap syndromes, formerly known as mixed sclerosing dystrophies, in which OPK and other osteosclerotic bone disorders (such as fibrous dysplasia, osteopathia striata, and melorheostosis) are combined, must be borne in mind in the differential diagnosis.