Case 9-2000

Presentation of CaseA 41-year-old man was admitted to the hospital because of pain in multiple bones.The patient had been well until eight years earlier, when he had a mandibular abscess that resulted in the loss of his lower central incisors. He had an uneventful recovery, but in the ensuing years he began to have diffuse bone pain. He was told that he had mild diabetes mellitus. Eighteen months before admission, he began to limp because of increasing pain in the knees and ankles, and six months later, he began to use a cane. Subsequently, he had two fractures . . .