Eosinophilic granuloma in tenth thoracic vertebra: A case report

Eosinophilic granuloma is a rare disease that more occurs in children especially bays. It usually presents in flat and long bones. Sometimes skull and vertebral spine is affected. Case Report: The Case was a 6 years old boy that had back pain from 20 days ago. In physical exam we found a local tenderness on tenth thoracic vertebra. Imaging study includes X-ray and MRI revealed vertebra plana on tenth thoracic vertebra without any periostic reaction or bone formation. Bone scintigraphy showed increased radiotracer uptake only in the tenth thoracic vertebra. With attention to age، gender، clinical features، lab data and imaging study we suspected an eosinophilic granuloma for this patient that histological examination confirmed it. With considering to patient’s signs، conservative treatment include thoracolumbosacral brace and long term follow up was used.

One of the differentional diagnosis of backpain in children specially in boys is Eosinophilic granuloma.