In which of the following diseases, these X-ray findings are seen?: (A) Gaucher disease, (B) Fabry disease, (C) Morquio disease, (D) Niemann Pick disease
Answer is C. The bony abnormalities seen in the X ray- bullet shaped metacarpals and beaked veebral bodies comprise 'dysostosis multiplex', seen in Mucopolysaccharidosis (MPS)- Morquio disease or type IV MPS. Gaucher disease- X ray of long bones- Erlenmeyer flask deformity