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We describe the first Finnish case of hepatitis C associated osteosclerosis. In which the patient's bone symptoms and bone density were resolved with hepatitis C treatment. Suspecting the possibility of osteosclerosis underlying bone pains in a hepatitis C patient is well-founded, although osteoporotic fractures are a more common problem.

A previously quite healthy 65-year-old woman sought emergency hospital care due to fatigue, weight loss and sensation of thirst appearing over a couple of months. Further analysis revealed a process affecting the neurohypophysis and extensive lytic sclerotic bone lesions. Eventually a rare generalized underlying disease was unraveled: the diagnosis included both Langerhans cell histiocytosis and Erdheim-Chester disease.

A middle-aged male patient was examined due to chest pain. At the same time blisters appeared on his palms and soles of the foot. Radiologic examinations revealed lesions in the thoracic vertebral bodies, in the first rib and in the sternum. Inflammatory markers were elevated in the blood. The patient subsequently developed arthritis in a previously injured knee.