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...
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Format: | Article |
Language: | English |
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Wiley
2014-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2014/652539 |
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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 |