Differential diagnosis of periostitis
| Diseases associated with periostitis | Predominant location of periostitis |
|---|---|
| Hypertrophic osteoarthropathy | Distal diaphysis of long bones and metacarpal joints |
| Psoriatic onycho-pachydermo periostitis | Terminal phalanx |
| Psoriatic arthritis | Phalanges of fingers and toes |
| Reiter’s syndrome | Phalanges of fingers and toes |
| Athletic overuse (running, jumping) | Upper and lower extremities |
| Ossifying fasciitis | Variable |
| Periostitis ossificans | Variable |
| Polyarteritis nodosa | Lower extremities |
| Systemic lupus erythematosus | Variable |
| Facial infections | Mandibule, orbita |
| Florid reactive periostitis | Phalanges of hands and feet |
| Osteoblastoma | Variable |
| Bizarre parosteal osteochondromatous proliferation (Nora’s tumour) | Bones of the hands and feet |
| Chondrosarcoma | Variable |
| Treatment with interleukin 11 | Clavicle, long bones |
| Osteomyelitis | Variable |
| Chronic leg ulcers | Tibia |
| SAPHO syndrome | Variable |