Abstract:
BACKGROUND:Phalangeal microgeodic syndrome is an uncommon benign self-limiting condition that often occurs during cold weather. The etiology and the pathogenesis of the disease remain unclear. OBJECTIVE:To report a series of children with phalangeal microgeodic syndrome. MATERIALS AND METHODS:Twenty children with phalangeal microgeodic syndrome were retrospectively identified at our hospital after 2007. The clinical data, radiologic manifestation and pathologic appearance were analyzed. RESULTS:The average age was 10.3 years (range: 6.5-14.6 years). Twelve patients were boys. Twenty-five phalanges were affected radiographically (23 middle phalanges [92%] and 2 proximal phalanges [8%]). On radiographs, there were multiple small phalangeal lacunae in all cases. Metaphyseal rarefaction was seen in 15 phalanges, and metaphyseal transverse lucent bands were found in 7 phalanges. Epiphyseal rarefaction was seen in three phalanges. On magnetic resonance imaging (MRI), diffuse signal abnormalities of affected phalanges were observed in all cases. Multiple other phalanges and metacarpals also showed marrow edema in three cases. CONCLUSION:Phalangeal microgeodes may represent bone absorption and destruction in response to exaggerated peripheral circulatory impairment following chilblain, and mainly occur in bone growth spurts.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Yang YZ,Ma XH,Yang XH,Gu WZ,Jin WY,Zhao ZYdoi
10.1007/s00247-018-4137-5subject
Has Abstractpub_date
2018-08-01 00:00:00pages
1108-1112issue
8eissn
0301-0449issn
1432-1998pii
10.1007/s00247-018-4137-5journal_volume
48pub_type
杂志文章abstract:BACKGROUND:The diagnosis of Hirschsprung's disease is usually made in neonates but often considered in older infants and children with constipation: these children may be referred for barium enema. Since it is widely accepted that a normal barium enema does not exclude Hirschsprung's disease, some children, after a nor...
journal_title:Pediatric radiology
pub_type: 杂志文章
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更新日期:2000-10-01 00:00:00
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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更新日期:1994-01-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章,评审
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更新日期:1998-11-01 00:00:00
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pub_type: 临床试验,杂志文章
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journal_title:Pediatric radiology
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Pediatric radiology
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更新日期:2015-09-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3084-z
更新日期:2014-10-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
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