Osteolysis syndrome mimicking juvenile idiopathic arthritis.
Osteolysis syndromes include a group of heterogeneous disorders that can be mistakenly diagnosed as juvenile idiopathic arthritis (JIA) in early course of the disease. We report a case of 16-year-old girl who presented with severe joint deformities, subcutaneous nodules and linear skin indurations. She had been diagnosed as having JIA before and given immunosuppressive therapy. X-ray of the joints showed severe osteopenia and osteolysis of interphalangeal joints of the hands and feet. The patient was diagnosed as having Torg/nodulosis, arthropathy, osteolysis syndrome (NAO). Here, we briefly discuss osteolysis syndromes and the differential diagnosis between osteolysis syndromes and JIA.
Cansu
Döndü
D
Division of Rheumatology, Department of Internal Medicine, Eskişehir Osmangazi University, 26480 Eskisehir, Turkey.
Celik
Mustafa
M
Kaşifoğlu
Timuçin
T
Işiksoy
Serap
S
Korkmaz
Cengiz
C
D000293:Adolescent; D001171:Arthritis, Juvenile / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D005532:Foot Deformities, Congenital / Q000175:diagnosis / Q000000981:diagnostic imaging; D006228:Hand Deformities, Congenital / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D010014:Osteolysis / Q000151:congenital / Q000175:diagnosis*; D011859:Radiography; D013577:Syndrome