Academic Journal
AB0775 MANY RARE AND SERIOUS LOCALIZATIONS IN ONE CASE WITH HEREDITARY EXOSTOSES
| العنوان: | AB0775 MANY RARE AND SERIOUS LOCALIZATIONS IN ONE CASE WITH HEREDITARY EXOSTOSES |
|---|---|
| المؤلفون: | Sarraj, R., Ghali, M., Ben Chehida, R., Mouna, G., Bejia, I., Mahbouba, J., Zrour, S., Touzi, M., Bergaoui, N. |
| المصدر: | Annals of the Rheumatic Diseases ; volume 80, issue Suppl 1, page 1414.2-1414 ; ISSN 0003-4967 1468-2060 |
| بيانات النشر: | BMJ |
| سنة النشر: | 2021 |
| الوصف: | Background: Multiple hereditary exostoses (MHE) is an inherited disorder of bone growth. People who have MHE grow exostoses or boney bumps on their bones that vary in size, location and number. Some localizations are rare but potentially serious such as ribs, spine or pelvis due to proximity to important structures. Objectives: The aim of this case report was to illustrate the clinical and radiographic features of some rare localizations of MHE. Methods: We are reporting a rare case of a thirty one-year-old male with severe localizations of MHE. Results: A thirty one-year-old male affected by hereditary multiple exostoses., not followed up, came to our consultation complaining about chest pain. On examination, he walks with a limp because of the unequalness of his limbs.The osteoarticular examination revealed numerous palpable osseous masses at the distal and proximal end of the 2 arms, 2 forearms, 2 thighs and 2 legs and at the right iliac wing. Neurological examination revealed vivid deep tendon reflexes, bilateral positive Hoffmann’sign and Babinski reflex associated with right hemiparesis. The pulmonary exam was normal. Medullary MRI showed medullary compression with spinal cord atrophy and sign of myelopathy of c1 c2 segment. The ct –scan revealed multiple exostosis, the two largest lesions were located in the second rib measuring 45mm * 35mm axially and 52mm in height compromising blood vessels, and in the right iliac bone with a retroperitoneal growing mass measuring 126 * 94 mm axially and 100 mm in height leading to a serious entrapment of the axial skeleton and the abdominal organs. It also confirmed thickening of the cartilage cap of the right iliac bone suggestive of malignant chondrosarcomatous transformation. Conclusion: Exostoses are the most common benign bone tumors. Its complications are rare but can cause a functional disability or even a vital risk. References: [1]Eke GK, Omunakwe HE, Echem RC. Hereditary multiple exostoses in a 15-year-old boy: A case report and review of literature. Niger J ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1136/annrheumdis-2021-eular.3296 |
| الاتاحة: | http://dx.doi.org/10.1136/annrheumdis-2021-eular.3296 https://syndication.highwire.org/content/doi/10.1136/annrheumdis-2021-eular.3296 |
| رقم الانضمام: | edsbas.9D78BDCF |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/annrheumdis-2021-eular.3296 |
|---|