1/35. Tl-201 uptake in bone and soft tissue involvement of sarcoidosis.The authors describe a 38-year-old man who was referred to the nuclear medicine department because of pain and swelling of his fingers in both hands. Tc-99m MDP and Tl-201 scans were performed to evaluate the lesions. A Tc-99m MDP bone scan showed hyperemia and increased uptake in the lesions. A Tl-201 scan showed marked uptake in both early and delayed images in the lesions of his fingers. Bone biopsy and histologic examination confirmed sarcoidosis. This case indicates that Tl-201 uptake can be seen in bone lesions resulting from sarcoidosis.- - - - - - - - - - ranking = 1keywords = finger (Clic here for more details about this article) |
2/35. Bizarre parosteal osteochondromatous proliferation of the phalanx: report of a case.The bizarre parosteal osteochondromatous proliferation of the hand and foot is a benign lesion which occasionally may mimic osteochondromas, chondrosarcomas or osteosarcomas clinically, radiologically and histopathologically. This rare benign entity should be recognized in order to avoid unwarranted destructive therapy. The authors report a case of this disease and discuss the differential diagnosis and the relevant features of this disease entity. A 27-year-old female patient suffered from a painful swelling at the proximal middle phalanx of the right middle finger for five months. The lesion was excised but the residual lesion developed a distinct parosteal growth by radiologic studies one-and-a-half years later. The patient underwent reexcision of the lesion twice. No recurrence was noted 11 months following the last excision. Histopathologically, the first specimen contained bizarre chondrocytes. The recurrent nodular tumors, submitted in the second and third operations, were composed of cancellous bone with fatty marrow and a few marrow elements, and focally capped by cartilage. The adjacent soft tissue contained proliferating fibrous tissue. The osteochondral junctions in the latter two specimens were irregular. We believe that the documentation of this tumor at different stages of development has helped in the further understanding of this rare entity.- - - - - - - - - - ranking = 0.5keywords = finger (Clic here for more details about this article) |
3/35. Total anonychia congenita: a rare heterogeneic disorder.Total anonychia congenita is a very rare disorder in which all the finger nails and the toenails are absent without significant bone anomalies. This condition is reported to have an autosomal dominant inheritance pattern. There are a variety of syndromes or conditions associated with anonychia congenita. In this study we present a monozygotic twin with isolated anonychia congenita totals. Interestingly there is no family history of anonychia and this condition seems to be caused by a sporadic mutation.- - - - - - - - - - ranking = 0.5keywords = finger (Clic here for more details about this article) |
4/35. Phalangeal microgeodic syndrome resulting in rapid digital shortening.Microgeodic phalangeal syndrome is a rare condition affecting the fingers in children. Radiographically, the affected phalanges show sclerosis with multiple small areas of osteolysis. The pathogenesis of microgeodic phalangeal syndrome is considered to be a transient disturbance of the peripheral circulation caused by cold temperatures. In most cases, the symptoms and the radiographic changes return to normal within several months without any treatment. We present a rare case of microgeodic phalangeal syndrome in the middle phalanx of the right index finger in an 8-year-old girl, in whom the affected phalanx shortened within 6 weeks of the initial presentation. It was speculated that minor trauma to the finger might have contributed to the collapse and shortening of the phalanx. The current case indicates that the use of a splint for the affected finger in the early period after onset of symptoms might be recommended to avoid digital shortening.- - - - - - - - - - ranking = 2keywords = finger (Clic here for more details about this article) |
5/35. brachydactyly type E in two sibs with increased bone density and mental retardation. A new autosomal recessive syndrome?brachydactyly type E in two sibs with increased bone density and mental retardation. A new autosomal recessive syndrome?: We report on two sibs, a boy and a girl, with syndromic brachydactyly type E. parents were first cousins. Facial dysmorphia was characterized by a flat occiput, a large forehead, hypertelorism, a long triangular nose, an everted lower lip, downslanting palpebral fissures and strabismus. They had marked shortening of the third, fourth and fifth fingers and of the third, fourth, and fifth toes. IQ was 16 in the boy, 63 in the girl. In both sibs ophtalmologic examination showed strabismus, absence of cataract and normal fundus and radiological findings disclosed increased bone density involving the skull, the vertebrae and the corticalis of the long bones. Neither ectopic calcifications, nor exostosic, nor osteomalacia, and nor osteotis fibrosa cystica were present. Investigations revealed that plasma calcium, phosphate, vitamine D, parathyroid hormone (PTH), response to exogenous PTH, and Gs activity were normal as well as renal and thyroid function. Molecular genetic studies failed to identify mutations in the GNAS 1 gene, in the PTH receptor gene and in the HOX D13 gene. Analysis of 2q showed that there was no deletion 2q37. Other known syndromes with brachydactyly type E and mental retardation were excluded. In conclusion we suggest that these two sibs with a combination of brachydactyly, mental retardation and increased bone density have a specific autosomal recessive syndrome.- - - - - - - - - - ranking = 0.5keywords = finger (Clic here for more details about this article) |
6/35. Microgeodic phalangeal syndrome in an infant.A new case is reported of the curious disease described by Maroteaux as Microgeodic phalangeal syndrome in infancy, of unknown etiology. The purpose of this communication is to describe an additional case of this rare condition, described for the first time by Maroteaux in 1970, and affecting the fingers of infants and children. The condition consists of a swelling of the fingers and multiple microgeodes in the phalanges. It is a benign disease and the lesions disappear totally after a few months.- - - - - - - - - - ranking = 1keywords = finger (Clic here for more details about this article) |
7/35. Radionuclide bone-scan abnormalities in leprosy: case reports.Radionuclide bone scans were performed on two patients with leprosy. The resulting scan patterns simulated hypertrophic osteoarthropathy and diffuse arthritis, findings entirely consistent with the primary disease process.- - - - - - - - - - ranking = 96.925550666119keywords = osteoarthropathy (Clic here for more details about this article) |
8/35. Solitary osseous sarcoidosis in a finger.sarcoidosis confined to a single bone in a patient with chronic systemic sarcoidosis and seen as a soft tissue mass is exceedingly rare. The combination of lytic and sclerotic changes within one bone has not been previously reported.- - - - - - - - - - ranking = 2keywords = finger (Clic here for more details about this article) |
9/35. Absence of ulnar drift in a rheumatoid hand with partial amputation of the digits.A patient suffered partial amputation of all the fingers of her left hand. One year later, she developed rheumatoid arthritis. She was subsequently spared the deformities of ulnar drift and palmar subluxation in the mutilated left hand. The possible causes of ulnar drift are discussed in relation to this patient.- - - - - - - - - - ranking = 0.5keywords = finger (Clic here for more details about this article) |
10/35. bursitis of the tensor veli palatini muscle with an osteophyte on the pterygoid hamulus.Many patients with temporomandibular joint dysfunction and/or myofascial pain syndrome have numerous symptoms. In cases of multiple complaints, an attempt should be made to resolve symptoms on a step-by-step basis. In this case report, a patient was treated for only one of her numerous complaints, that is, a burning sensation on her palate when she touched the right tuberosity area with her tongue or finger.- - - - - - - - - - ranking = 0.5keywords = finger (Clic here for more details about this article) |
| | Next -> |