1/46. Superficial and deep granulomatous lesions caused by trichophyton violaceum.A patient with cutaneous and reticulo-endothelial lesions, lymphadenopathy and osteitis caused by trichophyton violaceum is presented. Two types of skin lesions were found: 1. Erythematous, scaly plaques on the arms, chest and abdomen; 2. areas of diffuse infiltration, granulomatous ulceration, fistulation and destruction of the sternal bone. Long-term treatment with penicillin, streptomycin, sulfonamides, and griseofulvin, gave temporary improvement.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
2/46. Stress-induced SAPHO syndrome.We describe the case of a woman with the classic combination of features of synovitis-acne-pustulosis-hyperostosis-osteitis (SAPHO) syndrome, including pustulosis palmo-plantaris and anterior chest wall involvement. The varying symptomology, etiology and pathogenesis of this syndrome and the contribution of stress are discussed. The authors ascribe the dearth of reported cases to lack of awareness and recognition of SAPHO, and not to the real incidence of the syndrome.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
3/46. The SAPHO syndrome in children: a rare cause of hyperostosis and osteitis.The SAPHO syndrome is a rare constellation of signs and symptoms characterized by synovitis, acne, pustulosis, hyperostosis, and osteitis. The most common musculoskeletal complaints are hyperostosis, causing pain, tenderness, and swelling of the anterior chest wall, although any part of the axial and appendicular skeleton may be affected. There is a great degree of variability in the dermatologic involvement of this syndrome. A combination of clinical, radiographic, and pathological investigation is required to establish the correct diagnosis. No single treatment has been found to be effective, although nonsteroidal antiinflammatory drugs have been the most frequently used. Because there is no mention of SAPHO syndrome in the English orthopaedic literature, and pediatric orthopaedic surgeons may be the first caregivers to treat these children, we thought it appropriate to share our experience with a 5-year-old boy with SAPHO syndrome recently under our care.- - - - - - - - - - ranking = 8.9363459745918keywords = pain, chest (Clic here for more details about this article) |
4/46. Pseudomonas osteomyelitis of the symphysis pubis after inguinal hernia repair.osteitis pubis (OP) is a term used to describe an entity characterised by severe pelvic pain, a wide-based gait and bony destruction of the margins of the pubic symphysis. It is usually assumed that OP is a non-infectious, self-limiting, relatively benign condition. Infectious osteomyelitis of the symphysis pubis (IOSP) is very unusual and the clinical presentation can resemble OP. IOSP following inguinal hernia repair is extremely rare. A case of IOSP caused by pseudomonas aeruginosa is described. We reiterate the assumption that IOSP can be misdiagnosed as OP.- - - - - - - - - - ranking = 7.9363459745918keywords = pain (Clic here for more details about this article) |
5/46. Destructive bone disease in early syphilis.Although destructive bone disease is a well-known complication of tertiary syphilis, osteitis or osteomyelitis are not commonly recognized as complications of early (primary or secondary) syphillis. A patient with secondary syphilis characterized by generalized lymphadenopathy, perianal condyloma lata, and positive rapid plasma reagin (RPR) and fluorescent treponemal antibody-absorption (FTA-ABS) tests also complained of headache, right should pain, and right anterior chest pain and swelling. Roentgenograms showed mottled osteolytic lesions consistent with previously described luetic bone disease. biopsy confirmed the diagnosis of syphilitic osteomyelitis, and treatment with penicillin resulted in prompt resolution of symptoms.- - - - - - - - - - ranking = 16.872691949184keywords = pain, chest (Clic here for more details about this article) |
6/46. Tuberculous osteitis of the cranium: a case report.A 3-year old male presented with a 12-month history of painless scalp swellings associated with cough, fever and night sweats. physical examination showed tender, fluctuant, pulsatile right frontotemporal and temporoparietal masses. skull radiographs showed osteolytic skull lesions in the frontal and temporal bones. microscopy of drained caseous material and histology of biopsies from the affected bone edges confirmed tuberculous osteitis. Though there was an initial response to antituberculous agents, the child died after 5 weeks from hepatic failure. tuberculosis of the skull bones though rare, may become more common with the recent upsurge of tuberculosis worldwide. A high index of suspicion is necessary for early diagnosis and treatment.- - - - - - - - - - ranking = 7.9363459745918keywords = pain (Clic here for more details about this article) |
7/46. Hypertrophic osteitis of the medial end of the clavicle.A 9-year-old boy had a spontaneous onset of enlargement of the medial end of the clavicle due to extensive sclerosis and periosteal reaction. There was no clinical or laboratory evidence of infection. biopsy revealed an inflammatory exudate, and histochemical staining for Langerhans'-cell histiocytosis was negative. Hypertrophic sclerosis causing painful enlargement of the medial end of the clavicle in isolation should be distinguished from condensing osteitis and chronic recurrent multifocal osteomyelitis. An early biopsy to exclude neoplasia is recommended.- - - - - - - - - - ranking = 7.9363459745918keywords = pain (Clic here for more details about this article) |
8/46. Basithoracic pain as first manifestation of pustulotic arthro-osteitis.We report the case of a woman with atypical anterior basithoracic pain as only initial symptom of pustulotic arthro-osteitis. early diagnosis was made only after development inferior lumbar pain, some months later. At that time, the radiological investigations revealed the osteoarticular counterpart of pustulotic arthro-osteitis.- - - - - - - - - - ranking = 47.618075847551keywords = pain (Clic here for more details about this article) |
9/46. Central (intraosseous) adenoid cystic carcinoma of the mandible: report of a case with periapical involvement.Primary intraosseous salivary gland tumors are rare, with mucopidermoid carcinoma being the most frequent histotype. The authors present a case of adenoid cystic carcinoma, located in the mandibular incisor region, associated with pain. Endodontic treatment resulted in increased pain and progressive mandibular expansion. An apicoectomy was conducted, and an intraosseous adenoid cystic carcinoma was diagnosed at histological examination. The patient was treated by wide surgical resection, and is alive and well without recurrences or distant metastases 14 yr after the original diagnosis. The case presented herein calls attention to the preoperative clinical diagnosis of periapical lesions. Radiologically, focal sclerosing osteitis, cementoblastoma, cementifying and ossifying fibroma, periapical cemental dysplasia, complex odontoma, and calcifying epithelial odontogenic tumor should be considered in the differential diagnosis. In addition the unusual occurrence of salivary gland tumors in intraosseous location stresses the importance of systematic histological examination of any tissue sample obtained after endodontic procedures.- - - - - - - - - - ranking = 15.872691949184keywords = pain (Clic here for more details about this article) |
10/46. Oral ulceration: a new and unusual complication.Oral ulceration is a common oral mucosal disorder arising from a range of aetiologies but, apart from being associated with discomfort or pain, rarely results in complications apart from occasional scarring. This paper reports two patients with a history of minor aphthae who developed ulceration with increasingly severe pain, related to the onset of osteitis, and who then developed sequestra.- - - - - - - - - - ranking = 97.06698307633keywords = discomfort, pain (Clic here for more details about this article) |
| | Next -> |