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Inflammatory Bowel Disease II: Crohn's Disease

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Updated: May 23, 2026

Induction of Murine Intestinal Inflammation by Adoptive Transfer of Effector CD4+CD45RBhigh T Cells into Immunodeficient Mice
08:37

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Published on: April 21, 2015

Kohler's Disease.

Nirav Shastri1, Lauren Olson, Milton Fowler

  • 1University of Missouri-Kansas City, Children's Mercy Hospital and Clinics, Overland Park, Kansas.

The Western Journal of Emergency Medicine
|March 31, 2012
PubMed
Summary

This case report details a pediatric patient experiencing foot pain attributed to Kohler's disease. Early diagnosis and management are crucial for this rare pediatric bone condition.

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Radiology
  • Pediatric Podiatry

Background:

  • Kohler's disease is a rare, self-limiting condition affecting the navicular bone in children.
  • It typically presents with foot pain and limping, often mistaken for other pediatric foot ailments.
  • Avascular necrosis of the navicular bone is the underlying pathology.

Purpose of the Study:

  • To present a pediatric case report of foot pain caused by Kohler's disease.
  • To highlight the diagnostic challenges and clinical presentation of this condition in children.
  • To emphasize the importance of timely diagnosis and appropriate management strategies.

Main Methods:

  • Case presentation of a pediatric patient with persistent foot pain.
  • Review of clinical findings, imaging studies (X-ray, MRI), and differential diagnoses.

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  • Discussion of the treatment approach and patient outcome.

    • Main Results:

    • The patient presented with characteristic symptoms of foot pain and tenderness.
    • Radiographic and MRI findings confirmed avascular necrosis of the navicular bone, consistent with Kohler's disease.
    • Conservative management led to symptom resolution and radiographic healing.

    Conclusions:

    • Kohler's disease is an important consideration in the differential diagnosis of pediatric foot pain.
    • Early recognition and conservative treatment are generally effective.
    • This case underscores the need for awareness among clinicians managing pediatric musculoskeletal complaints.