Pediatrics

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Two patients with the same disease
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Bone expansion with mild bowing deformity
Osteosclerosis and periostitis involving the mandible and adjacent soft tissue swelling

 

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Caffey’s Disease

  • DDX Childhood Periostitis “PERIOSTEAL SOCKS”
    Physiologic/PG, EG, Rickets, Infantile Cortical Hyperostosis, Osteomyelitis, Scurvy, Trauma, Ewing, A-hypervitaminosis, Leukemia/neuroblastoma, Syphillis, Osteosarcoma, Child abuse, Kinky hair syndrome, Sickle cell disease
  • AKA Infantile Cortical Hyperostosis
  • Idiopathic hyperostosis/cortical thickening with associated warm soft tissue swelling
  • Present age 3 months-1 year with fever, irritability
  • Common sites – mandible, clavicle, ulna, tibia, ribs or scapula
  • TX: steroids, NSAIDS
  • Radiographically persists up to 2 year after SX resolve
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