19 January 2010
Idiopathic osteolysis of the middle phalanx in an adult patient
Grazyna Orlowska-Kowalik, Teresa Malecka-Massalska, Andrzej KsiazekAm J Case Rep 2010; 11:24-28 :: ID: 878331
Abstract
Background: Progressive osteolysis with disappearance of the carpal and tarsal bones occurs as a rare syndrome often associated with serious nephropathy. Renal failure as a final outcome is more prevalent in some forms of this syndrome than in others. The disease has also been described in patients as young as 1 month to as old as 75 years. The monitoring parameters associated with kidney diseaserelated bone destruction and with its treatment are included in the guideline recently established by Kidney Disease: Improving Global Outcomes (KDIGO) in 2005.
Case Report: The case of a 58-year-old woman treated with long-standing hemodialysis who developed osteolysis of the middle phalanx of the 3rd finger of the right hand after previous removal of the distal phalanx is presented.
Conclusions: A diagnosis of idiopathic osteolysis was made in this patient with a history of chronic renal insufficiency and failed cadaver transplant who presented with the chief complaint of bone ache in her right hand. This diagnosis was confirmed by X-ray of the hand and by histopathology. Although other pathological processes were present in this patient, including chronic hyperthyroidism, hyperparathyroidism, osteoporosis, diabetes mellitus, infections, and vasculitis, there was no conclusive evidence elucidating their roles in this process. Amputation of the phalanx relieved the symptoms and the patient was discharged from the hospital with the recommendation of further maintenance dialysis in her home clinic.
Keywords: Vasculitis, hemodialysis, Osteolysis, Hyperparathyroidism
SARS-CoV-2/COVID-19
19 May 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936370
17 May 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936651
13 May 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936589
13 May 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936574
In Press
24 May 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936600
23 May 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.935148
23 May 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936704
20 May 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936826
Most Viewed Current Articles
23 Feb 2022 : Case report
DOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250
17 Feb 2022 : Case report
DOI :10.12659/AJCR.934399
Am J Case Rep 2022; 23:e934399
06 Dec 2021 : Case report
DOI :10.12659/AJCR.934406
Am J Case Rep 2021; 22:e934406
19 Feb 2022 : Case report
DOI :10.12659/AJCR.935355
Am J Case Rep 2022; 23:e935355