Osteoid osteoma mimicking monoarticular juvenile idiopathic arthritis in a girl
| Autor: | Rita Consolini, Monica Barrani, A Paolicchi, Roberto Cioni, Gianluigi Laccetta, Luca Fabbri, Francesco Massei, Eugenio Ciancia, Virna Zampa, Michelangelo Scaglione |
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| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
030203 arthritis & rheumatology Osteoid osteoma medicine.medical_specialty business.industry Radiofrequency ablation Arthritis medicine.disease Malignancy 030218 nuclear medicine & medical imaging law.invention Lesion Bone Infection 03 medical and health sciences 0302 clinical medicine law Pediatrics Perinatology and Child Health Monoarthritis medicine Radiology medicine.symptom business Benign Osteogenic Neoplasm |
| Zdroj: | Pediatrics International. 58:791-794 |
| ISSN: | 1328-8067 |
| Popis: | Osteoid osteoma (OO) is a benign osteogenic neoplasm, usually affecting children and young adults, that is typically characterized by nocturnal pain and response to non-steroidal anti-inflammatory drugs. OO is frequently misdiagnosed because it mimics juvenile idiopathic arthritis (JIA), bone infection or malignancy. Herein we report the case of a girl who presented with chronic monoarthritis of the knee mimicking JIA. After 1 year, OO of the femoral distal metaphysis was diagnosed. OO was treated with computed tomography-guided radiofrequency ablation with disappearance of the symptoms and resolution of the neoplasm. No recurrences have been observed 3 years after the treatment. This case highlights that intra-articular or juxta-articular OO should be suspected in the case of misleading symptoms and signs, such as swelling, lack of typical pain and synovial thickening on ultrasound; needle biopsy of the lesion is necessary in the case of confusing imaging. |
| Databáze: | OpenAIRE |
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