Abstract
A 60-year-old man came to the orthopedics department with swelling of the entire right foot with multiple painful nodules, which oozed pus and blood intermittently for 25 years. This caused disability and daily limitations to his lifestyle. He had presented with this complaint several times and was referred to a tertiary care center. Examination of the foot showed a swollen foot and ankle with multiple subcutaneous nodules and draining sinuses. On palpation, the nodules were tender and boggy with restriction of movements. Plain radiograph of the foot showed multiple lytic lesions in all the tarsals, metatarsals, and proximal phalanges. T2-weighted magnetic resonance imaging (MRI) showed multiple lesions with classic ‘dot in circle’ sign in the bones and soft tissue.
Keywords
Publication details
- DOI
- 10.5001/omj.2020.77
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Indiran, V., & Sivanandam, S. P. (2020). Dot in Circle Sign. Oman Medical Journal. https://doi.org/10.5001/omj.2020.77
MLA 9
Indiran, Venkatraman, and Sharanya Ponni Sivanandam. "Dot in Circle Sign." Oman Medical Journal, 2020. https://doi.org/10.5001/omj.2020.77.
Chicago (author–date)
Indiran, Venkatraman, and Sharanya Ponni Sivanandam. 2020. "Dot in Circle Sign." Oman Medical Journal. https://doi.org/10.5001/omj.2020.77.
Harvard
Indiran, V. and Sivanandam, S. P. (2020) 'Dot in Circle Sign', Oman Medical Journal. doi:10.5001/omj.2020.77.
Vancouver
Indiran V, Sivanandam SP. Dot in Circle Sign. Oman Medical Journal. 2020. doi:10.5001/omj.2020.77
IEEE
V. Indiran, and S. P. Sivanandam, "Dot in Circle Sign," Oman Medical Journal, 2020, doi: 10.5001/omj.2020.77.