Chondrosternal Arthritis in Infant: An Unusual Entity

Primary arthritis of chondrosternal joint is very rare and occurs in infants less than 18 months of age. Presentation is most often subacute but may be acute. Child presents with a parasternal mass with history of fever and/or local signs of infection. Clinical symptoms vary from a painless noninfla...

Full description

Saved in:
Bibliographic Details
Main Authors: Athina Nikolarakou, Dana Dumitriu, Pierre-Louis Docquier
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/652539
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832550473979133952
author Athina Nikolarakou
Dana Dumitriu
Pierre-Louis Docquier
author_facet Athina Nikolarakou
Dana Dumitriu
Pierre-Louis Docquier
author_sort Athina Nikolarakou
collection DOAJ
description Primary arthritis of chondrosternal joint is very rare and occurs in infants less than 18 months of age. Presentation is most often subacute but may be acute. Child presents with a parasternal mass with history of fever and/or local signs of infection. Clinical symptoms vary from a painless noninflammatory to a painful mass with local tenderness and swelling, while fever may be absent. Laboratory data show low or marginally raised levels of white blood cells and C-reactive protein, reflecting, respectively, the subacute or acute character of the infection. It is a self-limiting affection due to the adequate immune response of the patient. Evolution is generally good without antibiotherapy with a progressive spontaneous healing. A wait-and-see approach with close follow-up in the first weeks is the best therapeutic option.
format Article
id doaj-art-2e45421fc9c34efead0f5cbae74e990f
institution Kabale University
issn 2090-6749
2090-6757
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-2e45421fc9c34efead0f5cbae74e990f2025-02-03T06:06:36ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/652539652539Chondrosternal Arthritis in Infant: An Unusual EntityAthina Nikolarakou0Dana Dumitriu1Pierre-Louis Docquier2Cliniques Universitaires Saint-Luc, Service de Pédiatrie, Avenue Hippocrate 10, 1200 Brussels, BelgiumCliniques Universitaires Saint-Luc, Service de Radiologie et d’Imagerie Médicale, Avenue Hippocrate 10, 1200 Brussels, BelgiumComputer Assisted Robotic Surgery (CARS), Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain, Tour Pasteur +4, Avenue Mounier 53, 1200 Brussels, BelgiumPrimary arthritis of chondrosternal joint is very rare and occurs in infants less than 18 months of age. Presentation is most often subacute but may be acute. Child presents with a parasternal mass with history of fever and/or local signs of infection. Clinical symptoms vary from a painless noninflammatory to a painful mass with local tenderness and swelling, while fever may be absent. Laboratory data show low or marginally raised levels of white blood cells and C-reactive protein, reflecting, respectively, the subacute or acute character of the infection. It is a self-limiting affection due to the adequate immune response of the patient. Evolution is generally good without antibiotherapy with a progressive spontaneous healing. A wait-and-see approach with close follow-up in the first weeks is the best therapeutic option.http://dx.doi.org/10.1155/2014/652539
spellingShingle Athina Nikolarakou
Dana Dumitriu
Pierre-Louis Docquier
Chondrosternal Arthritis in Infant: An Unusual Entity
Case Reports in Orthopedics
title Chondrosternal Arthritis in Infant: An Unusual Entity
title_full Chondrosternal Arthritis in Infant: An Unusual Entity
title_fullStr Chondrosternal Arthritis in Infant: An Unusual Entity
title_full_unstemmed Chondrosternal Arthritis in Infant: An Unusual Entity
title_short Chondrosternal Arthritis in Infant: An Unusual Entity
title_sort chondrosternal arthritis in infant an unusual entity
url http://dx.doi.org/10.1155/2014/652539
work_keys_str_mv AT athinanikolarakou chondrosternalarthritisininfantanunusualentity
AT danadumitriu chondrosternalarthritisininfantanunusualentity
AT pierrelouisdocquier chondrosternalarthritisininfantanunusualentity