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Primary hypertrophic osteoarthropathy: ultrasound and MRI findings

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Abstract

Primary hypertrophic osteoarthropathy is a rare genetic disorder related to failures in prostaglandin metabolism. Patients present with joint pain, limb enlargement, skin thickening and finger clubbing. Radiographs show characteristic periosteal reaction and thickening along the long bones. We present MRI and US findings in a child with the condition. Ultrasound showed echogenic tissue surrounding the long bones, presumably reflecting oedema and inflammatory tissue. Doppler sonograms demonstrated increased vascularity on the surface of some superficial bony structures.

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Authors and Affiliations

  1. Clarendon Wing Radiology Department, Leeds Children’s Hospital at The Leeds General Infirmary, Belmont Grove, Leeds, West Yorkshire, UK, LS2 9NS

    Brook Adams & Jeannette K. Kraft

  2. Department of Paediatric Rheumatology, Leeds Children’s Hospital at The Leeds General Infirmary, Leeds, UK, LS2 9NS

    Tania Amin, Valentina Leone & Mark Wood

Authors
  1. Brook Adams
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  2. Tania Amin
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  3. Valentina Leone
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  4. Mark Wood
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  5. Jeannette K. Kraft
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Correspondence to Jeannette K. Kraft.

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Adams, B., Amin, T., Leone, V. et al. Primary hypertrophic osteoarthropathy: ultrasound and MRI findings. Pediatr Radiol 46, 727–730 (2016). https://doi.org/10.1007/s00247-016-3544-8

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  • DOI: https://doi.org/10.1007/s00247-016-3544-8

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