Critical role of STIR MRI in early detection of post-streptococcal periostitis with dysproteinaemia (Goldbloom's syndrome).

Abstract:

OBJECTIVES:In 1966, Goldbloom et al. described two children who developed a peculiar clinical picture characterized by intermittent daily bone pain in the lower limbs, fever spikes, increased acute phase reactants and dysproteinaemia. The syndrome occurred two weeks after a group A β-haemolytic streptococcus infection. So far, only a few cases have been reported in the medical literature in English. METHODS:We report two further cases of Goldbloom's syndrome with a review of the literature in English. RESULTS:Our two patients lived in the same Italian region and presented their syndrome onset a week apart. Early use of STIR MRI revealed an atypical metaphyseal hyperintensity in the femurs and tibias. X-ray showed periosteal hyperostosis. A short cycle of corticosteroids led to rapid recovery of symptoms and disappearance of bone changes. CONCLUSIONS:The reported cases highlight a likely under-recognised post-streptococcal inflammatory periosteal reaction and emphasise the diagnostic utility of the newer imaging modalities.

journal_name

Clin Exp Rheumatol

authors

Papa R,Consolaro A,Minoia F,Caorsi R,Magnano G,Gattorno M,Ravelli A,Picco P

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

516-517

issue

3

eissn

0392-856X

issn

1593-098X

pii

11086

journal_volume

35

pub_type

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