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Related Experiment Videos

Sickle-cell dactylitis.

V T Worrall, V Butera

    The Journal of Bone and Joint Surgery. American Volume
    |December 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Sickle-cell dactylitis, a painful swelling of the digits in children with sickle-cell anemia, presents with distinct clinical and radiographic features. Early recognition of this syndrome is crucial to avoid misdiagnosis.

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    Paralytic instability of the hip in myelomengoceles.

    Clinical orthopaedics and related researchยท1977
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    Area of Science:

    • Pediatrics
    • Hematology
    • Radiology

    Background:

    • Sickle-cell dactylitis is a common early manifestation of sickle-cell disease in children.
    • It often presents before the definitive diagnosis of sickle-cell disease is made.

    Purpose of the Study:

    • To better define the presentation, roentgenographic features, and clinical course of sickle-cell dactylitis.
    • To improve diagnostic accuracy and reduce misdiagnosis.

    Main Methods:

    • Retrospective review of medical records of nine children diagnosed with sickle-cell anemia and dactylitis.
    • Analysis of clinical signs, symptoms, and radiographic findings.

    Main Results:

    • Average age at diagnosis was 18 months; dactylitis preceded sickle-cell disease diagnosis in 5 cases.

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  • Clinical signs (swelling, tenderness, fever, leukocytosis) resolved within 5-31 days.
  • Radiographic features (periosteal new-bone, intramedullary densities) appeared within 7-14 days and resolved within 2-3 months.
  • Conclusions:

    • Sickle-cell dactylitis has characteristic clinical and radiographic features that aid in diagnosis.
    • Increased familiarity with this syndrome can prevent frequent misdiagnoses.