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Published on: August 6, 2015
Prostaglandin-induced hyperostosis. A case report
D M Drvaric1, W J Parks, J B Wyly
1Emory University School of Medicine, Atlanta, Georgia 30303.
Insights
Long-term prostaglandin-E1 (PGE1) infusions for congenital heart disease in infants can cause subperiosteal hyperostosis. This prostaglandin-induced bone reaction should be considered in neonatal cortical proliferation diagnoses.
Area of Science:
- Neonatal medicine
- Pediatric cardiology
- Pediatric radiology
Background:
- Prostaglandin-E1 (PGE1) is crucial for maintaining ductus arteriosus patency in infants with ductal-dependent congenital heart disease.
- Long-term PGE1 therapy is a recognized treatment modality in this pediatric population.
Abstract:
The use of prostaglandin-E1 (PGE1) to maintain patency of the ductus arteriosus in infants with ductal-dependent congenital heart disease is now well established. A 2.5-month-old child with cyanotic heart disease who required long-term PGE1 infusions; developed widespread periosteal reactions during the course of therapy. Prostaglandin-induced subperiosteal hyperostosis should now be considered in the differential diagnosis of neonatal cortical proliferation.

