Skip to main content

Advertisement

Phalangeal microgeodic syndrome, a case series

Article metrics

  • 1296 Accesses

Background

Phalangeal microgeodic syndrome is a rare bone disorder affecting the fingers of young children, originally described by Maroteaux in 1970.

Aim

The aim of this case series is to present the clinical and radiological manifestations of three affected pediatric patients, and to illustrate the redundancy of additional investigations if the physician is aware of the disease.

Patients

The details of three patients with phalangeal microgeodic syndrome are summarized in the table. Three boys presented before the age of 2 years with swelling of the digits of one or both hands. Further clinical examination and laboratory evaluation were normal. On radiological examination multiple small osteolytic areas with sclerotic lining and periostal reactions were visible in the phalanges of the affected hands. All cases were treated with a conservative approach and spontaneous resolution occurred within weeks to months.

Conclusion

Phalangeal microgeodic is a rare bone disorder presenting with swelling of multiple digits yet alarming radiological signs. These manifestations can be misinterpreted as caused by an infectious, inflammatory or osteolytic condition and prompt clinicians to expand the diagnostic process with MRI or scintigraphic imaging and even biopsy. Timely recognition of clinical and typical radiological signs may prevent unnecessary investigations for this benign condition.

Table

  Patient 1 Patient 2 Patient 3
Sex male male male
Age 24m 24m 3m
Clinical signs Painless swelling, redness, both hands Painless swelling, no redness, left hand Painful swelling, redness, right hand
Radiological signs Multiple small osteolytic lesions with sclerotic rim and periosteal reaction Multiple small osteolytic lesions with sclerotic rim and periosteal reaction Multiple small osteolytic lesions with sclerotic rim and periosteal reaction
Therapy none none none
Resolution >3m 3m 1.5m

Author information

Correspondence to J Toelen.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and Permissions

About this article

Cite this article

Toelen, J., Van Ackere, T., Brijs, S. et al. Phalangeal microgeodic syndrome, a case series. Pediatr Rheumatol 9, P28 (2011) doi:10.1186/1546-0096-9-S1-P28

Download citation

Keywords

  • Pediatric Patient
  • Conservative Approach
  • Laboratory Evaluation
  • Additional Investigation
  • Radiological Examination