“…To our knowledge, only ten cases of JHF have been reported in adults in English literature [2,[7][8][9][10][11][12][13][14], among which 4 reports described X-ray aspects [2,[8][9][10], always abnormal, in contrast to children in whom normal aspect on X-ray studies is not infrequently observed [13,16,17]. Keser et al [8] were the Wrst to report musculoskeletal abnormalities in adulthood, in two severely aVected siblings with extensive destruction of the hips, the shoulder and distal joints.…”