A 21 YEAR OLD GIRL PRESENTED AT THE orthopaedic clinic of Ibri Regional Hospital, Oman, with history of vague pain of the left wrist. The X-rays of the wrist showed multiple small osteosclerotic lesions. Her blood investigations were normal ruling out systemic disease. Her ESR (erythro cyte sedimentation rate) was normal. She had no other symptomatology. Her skeletal survey was normal. A diagnosis of osteopoikilosis was made.