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Phalangeal microgeodic syndrome in childhood
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...
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| Published in: | Pediatric radiology 2018-08, Vol.48 (8), p.1108-1112 |
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| container_title | Pediatric radiology |
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| creator | Yang, Ying-Zhi Ma, Xiao-Hui Yang, Xing-Hui Gu, Wei-Zhong Jin, Wen-Yuan Zhao, Zheng-Yan |
| description | 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. |
| doi_str_mv | 10.1007/s00247-018-4137-5 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2036204838</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2036204838</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-985428a57a2e5bf4ea4822e4a81076d197ef50387467c3b79c6eefd7fb6c76363</originalsourceid><addsrcrecordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OLB6OQ7e5TiFxT0oOeQzWbbLftRE_fQf2_KVgXB0xzmmXdmHoTOCdwQAHUbAShXGIjGnDCFxQGaEs4oJnmuD9EUGBAMnOcTdBLjGgCYIOwYTWiumFQKpuj6dWUb2y29bbK2dqFf-r6sXRa3XRn61md1l7lV3ZSrvi9P0VFlm-jP9nWG3h_u3-ZPePHy-Dy_W2DHFP3EuRacaiuUpV4UFfeWa0o9t5qAkiXJla8EMK24VI4VKnfS-6pUVSGdkkyyGboaczeh_xh8_DRtHZ1v0qG-H6KhwCQFrplO6OUfdN0PoUvX7SjBlZQaEkVGKj0YY_CV2YS6tWFrCJidSjOqNEml2ak0Is1c7JOHovXlz8S3uwTQEYiplQyG39X_p34BX4l8GA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2035476680</pqid></control><display><type>article</type><title>Phalangeal microgeodic syndrome in childhood</title><source>Springer Nature</source><creator>Yang, Ying-Zhi ; Ma, Xiao-Hui ; Yang, Xing-Hui ; Gu, Wei-Zhong ; Jin, Wen-Yuan ; Zhao, Zheng-Yan</creator><creatorcontrib>Yang, Ying-Zhi ; Ma, Xiao-Hui ; Yang, Xing-Hui ; Gu, Wei-Zhong ; Jin, Wen-Yuan ; Zhao, Zheng-Yan</creatorcontrib><description>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.</description><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-018-4137-5</identifier><identifier>PMID: 29736770</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abnormalities ; Adolescent ; Biopsy ; Bone Diseases - diagnostic imaging ; Bone Diseases - pathology ; Bone growth ; Bone marrow ; Child ; Childhood ; Children ; Cold Temperature ; Cold weather ; Disease ; Edema ; Edema - diagnostic imaging ; Edema - pathology ; Etiology ; Female ; Finger Phalanges - diagnostic imaging ; Finger Phalanges - pathology ; Humans ; Identification methods ; Imaging ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Neuroradiology ; Nuclear Medicine ; Oncology ; Original Article ; Pathogenesis ; Pediatrics ; Radiographs ; Radiography ; Radiology ; Rarefaction ; Retrospective Studies ; Syndrome ; Ultrasound</subject><ispartof>Pediatric radiology, 2018-08, Vol.48 (8), p.1108-1112</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>Pediatric Radiology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-985428a57a2e5bf4ea4822e4a81076d197ef50387467c3b79c6eefd7fb6c76363</citedby><cites>FETCH-LOGICAL-c372t-985428a57a2e5bf4ea4822e4a81076d197ef50387467c3b79c6eefd7fb6c76363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29736770$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Ying-Zhi</creatorcontrib><creatorcontrib>Ma, Xiao-Hui</creatorcontrib><creatorcontrib>Yang, Xing-Hui</creatorcontrib><creatorcontrib>Gu, Wei-Zhong</creatorcontrib><creatorcontrib>Jin, Wen-Yuan</creatorcontrib><creatorcontrib>Zhao, Zheng-Yan</creatorcontrib><title>Phalangeal microgeodic syndrome in childhood</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>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.</description><subject>Abnormalities</subject><subject>Adolescent</subject><subject>Biopsy</subject><subject>Bone Diseases - diagnostic imaging</subject><subject>Bone Diseases - pathology</subject><subject>Bone growth</subject><subject>Bone marrow</subject><subject>Child</subject><subject>Childhood</subject><subject>Children</subject><subject>Cold Temperature</subject><subject>Cold weather</subject><subject>Disease</subject><subject>Edema</subject><subject>Edema - diagnostic imaging</subject><subject>Edema - pathology</subject><subject>Etiology</subject><subject>Female</subject><subject>Finger Phalanges - diagnostic imaging</subject><subject>Finger Phalanges - pathology</subject><subject>Humans</subject><subject>Identification methods</subject><subject>Imaging</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pathogenesis</subject><subject>Pediatrics</subject><subject>Radiographs</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Rarefaction</subject><subject>Retrospective Studies</subject><subject>Syndrome</subject><subject>Ultrasound</subject><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OLB6OQ7e5TiFxT0oOeQzWbbLftRE_fQf2_KVgXB0xzmmXdmHoTOCdwQAHUbAShXGIjGnDCFxQGaEs4oJnmuD9EUGBAMnOcTdBLjGgCYIOwYTWiumFQKpuj6dWUb2y29bbK2dqFf-r6sXRa3XRn61md1l7lV3ZSrvi9P0VFlm-jP9nWG3h_u3-ZPePHy-Dy_W2DHFP3EuRacaiuUpV4UFfeWa0o9t5qAkiXJla8EMK24VI4VKnfS-6pUVSGdkkyyGboaczeh_xh8_DRtHZ1v0qG-H6KhwCQFrplO6OUfdN0PoUvX7SjBlZQaEkVGKj0YY_CV2YS6tWFrCJidSjOqNEml2ak0Is1c7JOHovXlz8S3uwTQEYiplQyG39X_p34BX4l8GA</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>Yang, Ying-Zhi</creator><creator>Ma, Xiao-Hui</creator><creator>Yang, Xing-Hui</creator><creator>Gu, Wei-Zhong</creator><creator>Jin, Wen-Yuan</creator><creator>Zhao, Zheng-Yan</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180801</creationdate><title>Phalangeal microgeodic syndrome in childhood</title><author>Yang, Ying-Zhi ; Ma, Xiao-Hui ; Yang, Xing-Hui ; Gu, Wei-Zhong ; Jin, Wen-Yuan ; Zhao, Zheng-Yan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-985428a57a2e5bf4ea4822e4a81076d197ef50387467c3b79c6eefd7fb6c76363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abnormalities</topic><topic>Adolescent</topic><topic>Biopsy</topic><topic>Bone Diseases - diagnostic imaging</topic><topic>Bone Diseases - pathology</topic><topic>Bone growth</topic><topic>Bone marrow</topic><topic>Child</topic><topic>Childhood</topic><topic>Children</topic><topic>Cold Temperature</topic><topic>Cold weather</topic><topic>Disease</topic><topic>Edema</topic><topic>Edema - diagnostic imaging</topic><topic>Edema - pathology</topic><topic>Etiology</topic><topic>Female</topic><topic>Finger Phalanges - diagnostic imaging</topic><topic>Finger Phalanges - pathology</topic><topic>Humans</topic><topic>Identification methods</topic><topic>Imaging</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pathogenesis</topic><topic>Pediatrics</topic><topic>Radiographs</topic><topic>Radiography</topic><topic>Radiology</topic><topic>Rarefaction</topic><topic>Retrospective Studies</topic><topic>Syndrome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Ying-Zhi</creatorcontrib><creatorcontrib>Ma, Xiao-Hui</creatorcontrib><creatorcontrib>Yang, Xing-Hui</creatorcontrib><creatorcontrib>Gu, Wei-Zhong</creatorcontrib><creatorcontrib>Jin, Wen-Yuan</creatorcontrib><creatorcontrib>Zhao, Zheng-Yan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest - 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Academic</collection><jtitle>Pediatric radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Ying-Zhi</au><au>Ma, Xiao-Hui</au><au>Yang, Xing-Hui</au><au>Gu, Wei-Zhong</au><au>Jin, Wen-Yuan</au><au>Zhao, Zheng-Yan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Phalangeal microgeodic syndrome in childhood</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><addtitle>Pediatr Radiol</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>48</volume><issue>8</issue><spage>1108</spage><epage>1112</epage><pages>1108-1112</pages><issn>0301-0449</issn><eissn>1432-1998</eissn><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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29736770</pmid><doi>10.1007/s00247-018-4137-5</doi><tpages>5</tpages></addata></record> |
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| subjects | Abnormalities Adolescent Biopsy Bone Diseases - diagnostic imaging Bone Diseases - pathology Bone growth Bone marrow Child Childhood Children Cold Temperature Cold weather Disease Edema Edema - diagnostic imaging Edema - pathology Etiology Female Finger Phalanges - diagnostic imaging Finger Phalanges - pathology Humans Identification methods Imaging Magnetic Resonance Imaging Male Medicine Medicine & Public Health Neuroradiology Nuclear Medicine Oncology Original Article Pathogenesis Pediatrics Radiographs Radiography Radiology Rarefaction Retrospective Studies Syndrome Ultrasound |
| title | Phalangeal microgeodic syndrome in childhood |
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