Aboufirass Yasmina, Madani Afarine
Radiodiagnosis, Hôpital Erasme, Brussels, BEL.
Radiology, Hôpital Erasme, Brussels, BEL.
Cureus. 2023 Sep 22;15(9):e45773. doi: 10.7759/cureus.45773. eCollection 2023 Sep.
Melorheostosis is a rare chronic disease commonly affecting long bones of the lower extremity with the typical imaging feature of hyperostosis "candle wax pattern." Typically associated with pain, deformities, stiffness, and joint movement restriction (due to contracture and fibrosis), it may also be asymptomatic. Melorheostosis is considered a benign disease but can be extremely debilitating, especially in a pediatric context where progression can be faster than in adults. An even rarer occurrence seems to be its association with nerve impingement. In this paper, we present the case of an 8-year-old girl with a known condition of melorheostosis of the upper limbs who developed bilateral carpal syndrome. To our knowledge, very few cases of the sort have been described, and even less in a pediatric context.
肢骨纹状肥大是一种罕见的慢性疾病，通常累及下肢长骨，具有骨质增生“蜡泪样”的典型影像学特征。其通常伴有疼痛、畸形、僵硬以及关节活动受限（由于挛缩和纤维化），也可能无症状。肢骨纹状肥大被认为是一种良性疾病，但可能会使人极度虚弱，尤其是在儿科患者中，其病情进展可能比成人更快。更为罕见的情况似乎是它与神经受压有关。在本文中，我们报告了一例8岁已知患有上肢肢骨纹状肥大的女孩发生双侧腕管综合征的病例。据我们所知，此类病例描述很少，在儿科患者中更是少见。
