Unusual and memorable
Unusual and memorable
| The first 150 words of the full text of this article appear below. |
A 29 year old women presented with painful stiff fingers on her left hand. The pain was associated with intermittent swelling and limitation of motion of her digits. She was otherwise well with no history of psoriasis or other joint problems. On examination there was diffuse bony swelling of the second and third fingers of her left hand with a reduced range of movement. The overlying skin was shiny and erythematous (fig 1). Radiographs of the hands revealed endosteal hyperostosis of the second and third metacarpals (fig 2 ). Scintigraphy showed an increased accumulation of radionuclide in these areas (fig 3).
Melorheostosis is a rare bone disorder.1
It usually presents with joint pain, intermittent swelling, and muscle
contractures below the age of 20 years but may occur as late as the
fourth or fifth decades. The disease is usually limited to a single
limb, in which one or more bones may be affected.
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