title: Femoral periosteal thickening in pustulotic arthroosteitis, including 3-year followup by magnetic resonance imaging.
abstract: We describe 2 female patients with femoral periosteal thickening, in association with signs of pustulotic arthroosteitis in the sternocostoclavicular region and spine. In one patient, inflammatory changes were seen in muscular tissue surrounding this area of periosteal thickening, with fibrosis in the corresponding marrow. Over a period of up to 4 years after bone biopsy, cortical hyperostosis was observed spreading over a longer segment of her femoral diaphysis, while its thickness decreased over the longterm. Bone biopsy probably contributed to the striking periosteal thickening surrounded by inflammatory lesions in the surrounding muscles of this patients.
authors.affiliation: Rheumatology Unit, Academic Hospital, Free University Brussels, Belgium.
authors.forename: L A
authors.initials: LA
authors.lastname: Verbruggen
authors.forename: M
authors.initials: M
authors.lastname: Shahabpour
authors.forename: F
authors.initials: F
authors.lastname: De Geeter
authors.forename: R
authors.initials: R
authors.lastname: Van Tiggelen
mesh_terms: D000328:Adult; D001168:Arthritis / Q000175:diagnosis*; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010000:Osteitis / Q000175:diagnosis*; D010521:Periosteum / Q000000981:diagnostic imaging / Q000473:pathology*; D011859:Radiography; D011877:Radionuclide Imaging; D013492:Suppuration