Cases reported "Foot Diseases"

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11/19. Diabetic osteoarthropathy versus diabetic osteomyelitis.

    The differentiation between diabetic osteoarthropathy and osteomyelitis is a very difficult one to make, even in the presence of a pedal ulceration. However, considering present medical costs, the incorrect diagnosis of osteomyelitis can be a costly one, not only for the hospital, but also for the patient. In light of a normal white blood cell count, a benign 67Ga-citrate scan, and two noncontiguous areas of bone destruction, the diagnosis of diabetic osteoarthropathy can be made without the necessity of a bone biopsy.
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ranking = 1
keywords = osteoarthropathy
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12/19. Remitting seronegative symmetrical synovitis with pitting edema. RS3PE syndrome.

    Eight elderly men and two elderly women presented with symmetrical polysynovitis of acute onset involving most of their appendicular joints and flexor digitorum tendons associated with pitting edema of the dorsum of both hands and both feet. Onset of seven of the ten cases could be pinpointed almost to the hour. Rheumatoid factors were absent from serum samples in all, and no radiologically evident erosions developed. Clinical and laboratory signs of inflammation and the edema disappeared gradually in each case. Treatment consisted of aspirin or other nonsteroidal anti-inflammatory drugs. hydroxychloroquine, 200 to 400 mg/day, was given in six and gold therapy in two cases. Painless limitation of motion of the wrists and/or fingers persisted in all, although the patients were both unaware of and unhampered by this abnormality. Six of eight cases where typing was possible were positive for HLA-B7, CW7, and DQW2 (relative risk for B7, 9.5). Three cases of this syndrome were found in a consecutive series of 52 men diagnosed as having definite "rheumatoid arthritis," and thus represent a distinctive condition with an excellent prognosis.
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ranking = 7.1483712258175E-5
keywords = finger
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13/19. proteus syndrome.

    proteus syndrome is a rare hamartomatous syndrome with a variety of abnormalities. A 6-year-old Japanese boy without apparent abnormalities at birth developed by 1 year of age cerebriform skin tumors on the right sole, soft masses on the left sole, palms and fingers, brownish verrucous lesions and whorled brownish patches on the right side of the neck, chest, external genitals and extremities, hemihypertrophy of the right lower extremity, lordoscoliosis, protuberance of the skull, epileptic seizures, hydrocephalus and mental retardation. This patient appears to be the second Japanese case of proteus syndrome.
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ranking = 7.1483712258175E-5
keywords = finger
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14/19. Subtalar and talonavicular joint dislocation as a presentation of diabetic neuropathic arthropathy with salvage by triple arthrodesis.

    Ligamentous laxity is a common component of diabetic neuropathic osteoarthropathy. In some cases soft tissue instability leads to spontaneous dislocations or subluxations without any bone destruction. This leads to marked instability in gait and chronic ulcerations. A case report is presented in which talonavicular and subtalar joint dislocation occurred with Charcot osteoarthropathy. The conservative and surgical management including salvage by triple arthrodesis is discussed with follow-up care.
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ranking = 0.33333333333333
keywords = osteoarthropathy
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15/19. Metastatic carcinoma to the terminal phalanx of the big toe: report of two cases and review of the literature.

    Metastasis to the distal phalanges of the fingers and toes is rare and is associated with a poor prognosis. Phalangeal metastases commonly display inflammatory symptoms that mimic an acute infection. We describe two men with metastasis to the distal phalanx of the great toe. A review of the literature revealed 118 cases of nonmelanoma metastatic tumors to a distal digit.
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ranking = 7.1483712258175E-5
keywords = finger
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16/19. Thalassaemic osteoarthropathy treated with radiotherapy.

    patients with beta thalassaemia may develop a specific osteoarthropathy involving the feet. A number of different treatments for this condition have been tried, including rest, analgesia and hypertransfusion. We report a case of a patient with thalassaemic osteoarthropathy who responded to radiotherapy after failing conventional treatment.
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ranking = 1
keywords = osteoarthropathy
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17/19. Hypertrophic pulmonary osteoarthropathy in pulmonary metastasis--a case report.

    Hypertrophic pulmonary Osteoarthropathy is most commonly encountered in association with bronchogenic carcinoma and tumours of the pleura. Its association with pulmonary metastasis from extrathoracic neoplasms is rare. We report a 33 years old male Ethiopian who presented with Cannon ball lesions, clubbing of the digits, periostitis, gynaecomastia, acromegalic features and bilateral knee arthritis. Related literature is briefly reviewed.
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ranking = 0.66666666666667
keywords = osteoarthropathy
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18/19. mycobacterium marinum infection causing septic arthritis and osteomyelitis.

    A 48-yr-old female on immunosuppressive therapy for fibrosing alveolitis and polymyositis developed a septic arthritis of the left middle finger proximal interphalangeal joint, tenosynovitis of the left palm and osteomyelitis of the right hindfoot due to infection with mycobacterium marinum. Such widespread and severe bone and joint involvement has not been described previously with this organism.
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ranking = 7.1483712258175E-5
keywords = finger
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19/19. Plantar lipomatosis, unusual facial phenotype and developmental delay: a new MCA/MR syndrome.

    We describe two boys with global developmental delay and a phenotype of microcephaly, midface hypoplasia, enlarged fleshy ears, depressed nasal bridge, anteverted nostrils, central palatal ridge, and high forehead. Bilateral congenital fat pads are present anteromedial to the heels. Fetal finger and toe pads are present and palmar and plantar grooves are deeper than normal with "pillowing" of the areas between the grooves. No patients with similar clinical findings have been located, but these two children have a remarkably similar clinical presentation which we consider a "new" syndrome.
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ranking = 7.1483712258175E-5
keywords = finger
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