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Tytuł oryginału: Garr‚ type periostitis ossificans: effective antibiotic therapy case report and literature review.
Autorzy: Styczyński Jan, Biliński Piotr, Lasek Władysław, Gajewska-Guryn Anna, Wysocki Mariusz, Balcar-Boroń Anna
Źródło: Case Rep. Clin. Pract. Rev. 2002: 3 (1) s.46-50, il., bibliogr. 12 poz.
Sygnatura GBL: 313,612

Hasła klasyfikacyjne GBL:
  • pediatria
  • traumatologia i ortopedia

    Typ dokumentu:
  • praca kazuistyczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dzieci 6-12 r.ż.
  • płeć męska

    Streszczenie angielskie: Background: Garr‚ type periostitis ossificans is a rare disease observed in children and young adults. It is a chronic, infective pathologic change of bone tissue, with a mild course, affecting portions of long bone shafts and causing their sclerotization and thickening. Small granulation or cicatrization foci are present in teh marrow cavity, without purulence and bone defects. The predominant clinical symptom is dull pain, usually nocturnal. Generalized symptomsm or signs of local inflammation are rare. Case report: A course fo Garr‚ type periostitis ossificans located in the tibia of an 11-year-old boy is described. Laboratory tests and USG of the lesion site did not reveal any abnormalities. X-ray and CT images showed a spindle-shaped thickening of the tibial shaft, especially in the cortical layer, and narrowing of the marrow cavity, without periosteal reaction or soft tissue lesions. Scintigraphy of the skeletal system revealed enhanced radioligand uptake by the affected site. Differential diagnostics excluded osteogenci sarcoma, Ewing sarcoma, benign osteoma, cartilaginous tissue tumors, Langerhans cell histiocytosis and fibrous dysplasia. After antibiotic treatment, the clinical symptoms subsided. However, no evolution of radiological changes was observed. The boy has remained asymtomatic during 3-year follow-up. Conclusions: Garr‚ type periostitis ossificans should be taken into consideration in the differential diagnosis of bone diseases in children. The diagnosis is established on the basis of clinical and radiological presentation. Long-term antibiotic therapy may bring beneficial clinical effects. However, radiological changes of teh affected bone may persist for a long time.

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