Fig. 5.

Hand and foot radiographs. At 22 (A) and 33 (B) months of age the left hand and at 22 (C) months of age the left foot show diffuse sclerosis greatest in the metaphyses of the metacarpals and metatarsals and distal radius and ulna. The amount of sclerosis in the proximal phalanges varies from much to little and is greatest in the metaphyseal regions. The tarsals have some sclerosis greatest in the cuboids. Pathologic fractures are shown through sclerotic bone in the distal radius (arrow) and ulna in the anteroposterior projection (D) at 30 months and near nonsclerotic bone in the right femur (arrows) at 47 months (E).