Irritable Hip as the Inaugural Symptom for Neuroblastoma
Case Report. A four-year-old girl presented with fever and a painful limp in the left hip. Pain characteristics and anemia detected in the blood analyses were the first warning signs that the hip process was not standard. Although the primary suspicion was of septic arthritis, a CT scan of the abdom...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/7428350 |
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| author | Sara Alves da Silva Jorge Mendes João Carvalho Hélder Nogueira Helena Barroca Margarida Fernandes Edite Tomás |
| author_facet | Sara Alves da Silva Jorge Mendes João Carvalho Hélder Nogueira Helena Barroca Margarida Fernandes Edite Tomás |
| author_sort | Sara Alves da Silva |
| collection | DOAJ |
| description | Case Report. A four-year-old girl presented with fever and a painful limp in the left hip. Pain characteristics and anemia detected in the blood analyses were the first warning signs that the hip process was not standard. Although the primary suspicion was of septic arthritis, a CT scan of the abdomen revealed an adrenal neuroblastoma. Conclusion. The presenting signs of neuroblastoma are commonly atypical. About 25% of presentations are orthopedic and mimic a variety of severe orthopedic conditions. The most important clinical dilemma is distinguishing benign and self-limiting disorders from septic or malignant processes. |
| format | Article |
| id | doaj-art-af47222344b34cd0a1c71a5e2dc2f81b |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-af47222344b34cd0a1c71a5e2dc2f81b2025-02-03T05:51:27ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/74283507428350Irritable Hip as the Inaugural Symptom for NeuroblastomaSara Alves da Silva0Jorge Mendes1João Carvalho2Hélder Nogueira3Helena Barroca4Margarida Fernandes5Edite Tomás6Orthopedics and Trauma Department, Centro Hospitalar Tâmega e Sousa, Guilhufe, PortugalOrthopedics and Trauma Department, Centro Hospitalar Tâmega e Sousa, Guilhufe, PortugalOrthopedics and Trauma Department, Centro Hospitalar Tâmega e Sousa, Guilhufe, PortugalOrthopedics and Trauma Department, Centro Hospitalar Tâmega e Sousa, Guilhufe, PortugalBiopathology Department, Centro Hospitalar São João, Porto, PortugalBiopathology Department, Centro Hospitalar São João, Porto, PortugalPediatrics Department, Centro Hospitalar Tâmega e Sousa, Guilhufe, PortugalCase Report. A four-year-old girl presented with fever and a painful limp in the left hip. Pain characteristics and anemia detected in the blood analyses were the first warning signs that the hip process was not standard. Although the primary suspicion was of septic arthritis, a CT scan of the abdomen revealed an adrenal neuroblastoma. Conclusion. The presenting signs of neuroblastoma are commonly atypical. About 25% of presentations are orthopedic and mimic a variety of severe orthopedic conditions. The most important clinical dilemma is distinguishing benign and self-limiting disorders from septic or malignant processes.http://dx.doi.org/10.1155/2018/7428350 |
| spellingShingle | Sara Alves da Silva Jorge Mendes João Carvalho Hélder Nogueira Helena Barroca Margarida Fernandes Edite Tomás Irritable Hip as the Inaugural Symptom for Neuroblastoma Case Reports in Orthopedics |
| title | Irritable Hip as the Inaugural Symptom for Neuroblastoma |
| title_full | Irritable Hip as the Inaugural Symptom for Neuroblastoma |
| title_fullStr | Irritable Hip as the Inaugural Symptom for Neuroblastoma |
| title_full_unstemmed | Irritable Hip as the Inaugural Symptom for Neuroblastoma |
| title_short | Irritable Hip as the Inaugural Symptom for Neuroblastoma |
| title_sort | irritable hip as the inaugural symptom for neuroblastoma |
| url | http://dx.doi.org/10.1155/2018/7428350 |
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