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Idiopathic cortical hyperostosis

E T Jones, R N Hensinger, J F Holt

Clinical Orthopaedics and Related Research

|March 1, 1982

Summary

This summary is machine-generated.

Idiopathic cortical hyperostosis (ICH) can occur in older children, not just infants. This case report suggests ICH and infantile cortical hyperostosis (Caffey-Silverman syndrome) may be the same disorder.

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Area of Science:

Pediatrics
Radiology
Pathology

Background:

Infantile cortical hyperostosis, also known as Caffey-Silverman syndrome, is a rare disorder typically diagnosed in infants under six months.
The etiology and full spectrum of Caffey-Silverman syndrome remain incompletely understood.
Some reports suggest similar clinical, radiographic, and pathological findings in older children, potentially representing initial presentations or unrecognized infantile phases.

Observation:

This report details a case of idiopathic cortical hyperostosis (ICH) in an 11-year-old girl.
The patient presented with symptoms of ICH without any prior history of infantile disorder.
This presentation challenges the strict age limitation often applied to Caffey-Silverman syndrome.

Findings:

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The case confirms that cortical hyperostosis can manifest in older children as an initial presentation.

Radiographic and pathological features in this older child were consistent with those typically seen in infantile cortical hyperostosis.

No prior history of infantile phase was identified in this patient.

Implications:

This case supports the hypothesis that idiopathic cortical hyperostosis and infantile cortical hyperostosis (Caffey-Silverman syndrome) are the same disease entity.
The findings suggest a broader age range for the presentation of Caffey-Silverman syndrome.
Further research is warranted to understand the underlying mechanisms and full clinical spectrum of this disorder across different age groups.