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Bone Scintigraphy in Poststreptococcal Periostitis With Dysproteinemia.
Sophie Bourgeois1, Willy Peetermans2, Nathalie Noppe3
1From the Departments of Nuclear Medicine and Molecular Medicine.
Clinical Nuclear Medicine
|July 24, 2018
Summary
Goldbloom syndrome, a rare bone disorder, was diagnosed in an adult patient presenting with severe bone pain. This case expands the known age range for this condition, previously thought to affect only children and adolescents.
Area of Science:
- Medical Case Study
- Rheumatology
- Pediatric Endocrinology
Background:
- Goldbloom syndrome is characterized by idiopathic periosteal hyperostosis.
- It is typically associated with dysproteinemia and elevated inflammatory parameters.
- Previously, this condition was exclusively documented in pediatric and adolescent populations.
Observation:
- A 39-year-old man experienced severe bone pain in his tibiae and forearms.
- Symptoms emerged four months after a poststreptococcal sepsis, which included pneumonia and erysipelas.
- Bone scintigraphy revealed bilateral periostitis of the tibia, ulna, and radius.
Findings:
- The patient exhibited increased inflammatory parameters and dysproteinemia.
- These clinical and biochemical findings, alongside imaging results, led to the diagnosis of Goldbloom syndrome.
- This represents a rare adult case of a condition traditionally seen in younger individuals.
Implications:
- This case challenges the established age demographic for Goldbloom syndrome.
- It suggests that adult patients presenting with similar clinical and biochemical profiles should be evaluated for this condition.
- Further research may be warranted to understand the pathophysiology and prevalence of Goldbloom syndrome in adults.
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