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  • Poster presentation
  • Open Access

Phalangeal microgeodic syndrome, a case series

  • 1Email author,
  • 1,
  • 2,
  • 3,
  • 4,
  • 5 and
  • 1
Pediatric Rheumatology20119 (Suppl 1) :P28

https://doi.org/10.1186/1546-0096-9-S1-P28

  • Published:

Keywords

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

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

Authors’ Affiliations

(1)
Department of Pediatrics, UZ Leuven, Belgium
(2)
Department of Radiology, H Hart Roeselare, Belgium
(3)
Department of Radiology, St Elisabeth Ziekenhuis Herentals, Belgium
(4)
Department of Pediatrics, St Elisabeth Ziekenhuis Herentals, Belgium
(5)
Necker-Enfants-Malades Hospital, France

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