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Infantile Cortical Hyperostosis

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Location: http://adc.bmj.com/cgi/content/full/90/7/711

Description: Infantile cortical hyperostosis D Suri, D Dayal and M Singh Advanced Pediatrics Center, -160012, India; Keywords: Caffeys disease A 14 week old male infant presented with multiple tender bony swellings involving the legs, forearm, and lower jaw since 1 month of age (fig 1). No history of fever, trauma, or child abuse was forthcoming. He was irritable and had difficulty in feeding since the appearance of the jaw swelling. Bowing of the lower limbs with pseudoparalysis was observed. There was no response to adequate vitamin C supplements received prior to hospitalisation. Investigations showed mild increase of ESR, normal blood biochemistry, sterile cultures, and negative parental serology for syphilis. Bone radiographs revealed periosteal elevation, new bone formation, and cortical thickening involving the diaphyses of bilateral tibia, ulna, and femur (fig 2). The characteristic triad of irritability, swelling, and bone lesions, age at presentation, and mandibular involvement clinched the diagnosis. Archives of Disease in Childhood 2005;90:711

Type: Case Study
Author/Contact: D Suri, D Dayal and M Singh
Institution: Postgraduate Institute of Medical Education and Research, Chandigarh
Primary Subject/Category:

Language: English

Submitted by: admin
Hits: 1491
Added: Thu Nov 30 2006