title: Lymphoma with unusual manifestations resembling acute osteomyelitis in bilateral ankles of an 8-year-old boy: a case report.
abstract: Early proper diagnosis of non-Hodgkin's lymphoma is critical. However, without a high index of suspicion, the diagnosis can often be missed because of the nonspecific symptoms and normal plain radiographs. Further, non-Hodgkin's lymphoma can be misdiagnosed as an infectious condition - such as osteomyelitis or septic arthritis - or as an inflammatory disease. The authors report a case of mature B-cell lymphoma of the small intestine or colorectal primary malignancy with peritoneal seeding and multiple bone metastases in an 8-year-old boy. This case report emphasizes the importance of a comprehensive approach with patients, including children with nonspecific symptoms, to orthopedic surgeons.
authors.affiliation: Departments of aOrthopaedic Surgery bPediatrics cLabratory Medicine and Medical Device Clinical Trial Center, Chung-Ang University College of Medicine dDepartment of Orthopaedic Surgery, Seoul National University Children's Hospital, Seoul, Korea.
authors.forename: Han-Jun
authors.initials: HJ
authors.lastname: Lee
authors.forename: Min-Kyu
authors.initials: MK
authors.lastname: Kim
authors.forename: Ki-Wook
authors.initials: KW
authors.lastname: Yun
authors.forename: Young Joo
authors.initials: YJ
authors.lastname: Cha
authors.forename: Won Joon
authors.initials: WJ
authors.lastname: Yoo
authors.forename: Ho-Joong
authors.initials: HJ
authors.lastname: Jung
mesh_terms: D000843:Ankle Joint; D001859:Bone Neoplasms / Q000150:complications* / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000175:diagnosis; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology*