title: Previously undescribed syndrome of spondylometaphyseal dysplasia, osteocartilaginous metaplasia of long bones, and progressive osteolysis of distal phalanges.
abstract: We present the findings and clinical course of a Caucasian woman (now age 23 1/2) who has been treated since early childhood for a previously undescribed syndrome of painful osteocartilaginous metaplasia of long bone metaphyses and painful distal phalangeal osteolysis and soft tissue swelling. Despite extensive evaluations and attempts at effective treatment, the cause and pathogenesis of her unique musculoskeletal disorder remain elusive.
authors.affiliation: Shriners Hospital for Children, Spokane, Washington 99210-2472, USA.
authors.forename: W R
authors.initials: WR
authors.lastname: Osebold
authors.forename: A K
authors.initials: AK
authors.lastname: Poznanski
authors.forename: J M
authors.initials: JM
authors.lastname: Opitz
authors.forename: L O
authors.initials: LO
authors.lastname: Langer
authors.forename: J W
authors.initials: JW
authors.lastname: Spranger
authors.forename: K K
authors.initials: KK
authors.lastname: Unni
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D000328:Adult; D001847:Bone Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005260:Female; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging; D006228:Hand Deformities, Congenital / Q000000981:diagnostic imaging; D006801:Humans; D008679:Metaplasia; D010009:Osteochondrodysplasias / Q000000981:diagnostic imaging; D010014:Osteolysis; D011859:Radiography; D013577:Syndrome