Document Detail

Microgeodic disease affecting the hands and feet of children.
MedLine Citation:
PMID:  1988479     Owner:  NLM     Status:  MEDLINE    
Twenty cases of microgeodic disease affecting the hands or feet of children are presented, and the relevant literature is reviewed. Clinical features include chilblain-like appearance and tenderness of the involved digits. Radiographically patchy osteoporosis of the diaphysis and/or sclerosis of the diaphysis and rarefaction of the metaphysis with cortical erosion is evident, often accompanied by subperiosteal new bone formation. Characteristically, this condition occurs in winter and resolves spontaneously within 6 months clinically and radiographically. This lesion appears to result from vascular insufficiency of the hands and feet causing bone infarction secondary to intense vasospasm precipitated by cold.
G Inoue; T Miura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  11     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    1991 Jan-Feb
Date Detail:
Created Date:  1991-02-28     Completed Date:  1991-02-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  59-63     Citation Subset:  IM    
Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
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MeSH Terms
Chilblains / diagnosis
Diagnosis, Differential
Diseases in Twins
Foot / radiography*
Hand / radiography*
Osteosclerosis / etiology,  radiography*

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