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Bilateral treponema periostitis.

Anisuddin Bhatti1, Maqsood Ahmed Bhatti, Ghulam Mehboob

  • 1Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Centre, Karachi. sarmadanis@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|December 1, 2004
PubMed
Summary
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Symmetrical exuberant periostitis, a rare condition, can be caused by Treponematosis. This case highlights Treponema species as a cause of onion peel periostitis in a patient with arm swelling.

Area of Science:

  • Medical Science
  • Pathology
  • Infectious Diseases

Background:

  • Symmetrical exuberant periostitis is a rare condition with diverse etiologies.
  • Infectious and non-infectious agents can trigger this periosteal reaction.
  • Treponematosis is an uncommon but recognized cause.

Observation:

  • A patient presented with swelling in the left arm.
  • Imaging revealed onion peel periostitis of the humerus.
  • The swelling was attributed to an underlying cause.

Findings:

  • The patient's condition was diagnosed as symmetrical exuberant periostitis.
  • Causative agent identified as Treponema species.
  • This represents a rare presentation of treponemal infection.

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Implications:

  • This case expands the differential diagnosis for periostitis.
  • Highlights the importance of considering treponemal infections in specific clinical contexts.
  • Further research into the mechanisms of treponemal-induced periostitis may be warranted.