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Phalangeal microgeodic syndrome in childhood
Ying-Zhi Yang1, Xiao-Hui Ma1, Xing-Hui Yang1
1Children's Hospital, Zhejiang University School of Medicine, No.57 Zhugan Lane, Hangzhou, Zhejiang, 310003, China.
Pediatric Radiology
|May 9, 2018
Summary
Phalangeal microgeodic syndrome, a rare bone condition, affects children during cold weather. Radiographic findings reveal small phalangeal lacunae and metaphyseal changes, suggesting a link to circulatory issues.
Area of Science:
- Pediatric Radiology
- Skeletal Dysplasias
- Dermatology
Background:
- Phalangeal microgeodic syndrome is an uncommon, benign, self-limiting condition.
- Its etiology and pathogenesis are currently unclear.
- The condition is often observed during colder months.
Purpose of the Study:
- To describe a series of pediatric cases with phalangeal microgeodic syndrome.
- To analyze the clinical, radiologic, and pathologic features of the condition.
Main Methods:
- Retrospective identification of twenty children diagnosed with phalangeal microgeodic syndrome.
- Analysis of clinical data, radiographic findings, and magnetic resonance imaging (MRI) appearances.
Main Results:
- The average age of affected children was 10.3 years, with a male predominance.
- Radiographs showed multiple small phalangeal lacunae in all cases, predominantly in middle phalanges.
- MRI revealed diffuse signal abnormalities and marrow edema in affected phalanges and occasionally metacarpals.
Conclusions:
- Phalangeal microgeodic syndrome might result from bone resorption due to impaired peripheral circulation, possibly related to chilblains.
- The condition appears to occur predominantly during periods of bone growth.
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