Original Editor - Tomer Yona
Osteopoikilosis, also known as ‘Spotted Bone Disease’ is benign autosomal dominant bone disorder that characterised by small areas (Islands) of sclerotic bony lesions. Osteopoikilosis mainly appears in long bones, carpal and tarsal bones, the pelvis, sacrum and scapulae.
With an estimated incidence of 1:50.000, This disorder may appear in any ages between 15 and 60 years, with slightly more males than females affected. Osteopoikilosis is typically asymptomatic, although, it has been reported that about 20% of patients will have some degree of articular pain or joint effusion 
Diagnostic Procedures & Clinical Presentation
Management / Interventions
Osteopoikilosis does not degenerate to malignancy or affect bone strength and no specific treatment or further investigations are required for osteopoikilosis other than patient education and reassurance. This diagnosis should always be kept in mind to avoid unwarranted and expensive investigations. 
Radiologically differential diagnosis of osteopoikilosis includes mainly osteopathia striata, melorheostosis, tuberous sclerosis, sclerotic bone metastases and osteomas which may have similar clinical pictures but orthopedic treatment may be necessary for them.
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