Abstract
Kronik hastalıkları olan kişiler hastalıklarının tekrarlayıcı doğası nedeniyle bazen yeterince değerlendirilemeyebilir ve böylece yeni gelişen tablolar gözden kaçabilir. Bu yazıda juvenil idiopatik artrit nedeniyle takip edilmekte olan ve bize hastalığın akut alevlenmesi şeklinde başvuran 12 yaşında bir kız hastayı sunuyoruz. Tedaviye başlandıktan sonra sağ dizindeki ağrı dışında tüm şikâyetleri geçmişti. Diz muayenesinde kalça hareketlerinde kısıtlılık tespit edildi. Direkt grafide trokanter minör komşuluğunda bir kitle görüldü. Manyetik rezonans görüntülemede kitlenin osteoid osteoma olduğu belirlendi. Tümöre yönelik konservatif tedavi ile 12 ay sonunda hastanın şikâyeti bulunmamaktadır. Hastayı tek bir noktaya odaklanmaksızın bir bütün halinde değerlendirmek ve özellikle iskelet yapısı olgunlaşmamış olgularda kalça ağrısının dizde hissedilebileceğini göz önünde bulundurmak önemlidir
Keywords
References
- Szendroi M, Kollo K, Antal I, et al. Intraarticular osteoid osteoma: clinical features, imaging results, and comparison with extraarticular localization. J Rheumatol 2004;31(5):957-64.
- Ghanem I. The management of osteoid osteoma: updates and controversies. Curr Opin Pediatr 2006;18(1):36-41.
- Lee EH, Shafi M, Hui JH. Osteoid osteoma: a current review. J Pediatr Orthop 2006;26(5):695-700.
- Christodoulou A, Ploumis A, Karkavelas G, et al. A rare case of juxtaarticular osteoid osteoma of the calcaneus initially misdiagnosed as juvenile chronic arthritis. Arthritis Rheum 2003;48(3):776-9.
- Cakar E, Durmus O, Kiralp MZ, et al. An unusual case of osteoid osteoma misdiagnosed as inflammatory joint disease and complex regional pain syndrome I. Acta Reumatol Port 2009;34(4):670-1.
- Kawaguchi Y, Sato C, Hasegawa T, et al. Intraarticular osteoid osteoma associated with synovitis: a possible role of cyclooxygenase-2 expression by osteoblasts in the nidus. Mod Pathol 2000;13(10):1086-91.
- Alani WO, Bartal E. Osteoid osteoma of the femoral neck stimulating an inflammatory synovitis. Clinical orthopaedics and related research 1987(223):308-12.
- Hahn YS, Kim JG. Pathogenesis and clinical manifestations of juvenile rheumatoid arthritis. Korean J Pediatr 2010;53(11):921-30.
- Boros C, Whitehead B. Juvenile idiopathic arthritis. Australian family physician 2010;39(9):630-6.
- Frick SL. Evaluation of the child who has hip pain. Orthop Clin North Am 2006;37(2):133-40
- Houghton KM. Review for the generalist: evaluation of pediatric hip pain. Pediatr Rheumatol Online J 2009;7:10.
Abstract
Patients with chronic diseases may sometimes be underestimated because of the relapsing nature of the disease and thus some newly developing phenomena may be overlooked. In this case we present a 12year old female patient who was followed up for juvenile idiopathic arthritis and applied to us as an exacerbation of the disease. After initiation of therapy all her complaints but the right knee improved. In the examination of knee, limitation in hip movements was detected. Xray of the hip revealed a mass neighboring the minor trochanter. On magnetic resonance imaging the mass was detected to be an osteoid osteoma. The patient is free of pain with conservative treatment for tumor after twelve months. It is important to evaluate the patient thoroughly without focusing on a single point and keep in mind that in especially skeletally immature patients hip pain can be felt in the knee
Keywords
References
- Szendroi M, Kollo K, Antal I, et al. Intraarticular osteoid osteoma: clinical features, imaging results, and comparison with extraarticular localization. J Rheumatol 2004;31(5):957-64.
- Ghanem I. The management of osteoid osteoma: updates and controversies. Curr Opin Pediatr 2006;18(1):36-41.
- Lee EH, Shafi M, Hui JH. Osteoid osteoma: a current review. J Pediatr Orthop 2006;26(5):695-700.
- Christodoulou A, Ploumis A, Karkavelas G, et al. A rare case of juxtaarticular osteoid osteoma of the calcaneus initially misdiagnosed as juvenile chronic arthritis. Arthritis Rheum 2003;48(3):776-9.
- Cakar E, Durmus O, Kiralp MZ, et al. An unusual case of osteoid osteoma misdiagnosed as inflammatory joint disease and complex regional pain syndrome I. Acta Reumatol Port 2009;34(4):670-1.
- Kawaguchi Y, Sato C, Hasegawa T, et al. Intraarticular osteoid osteoma associated with synovitis: a possible role of cyclooxygenase-2 expression by osteoblasts in the nidus. Mod Pathol 2000;13(10):1086-91.
- Alani WO, Bartal E. Osteoid osteoma of the femoral neck stimulating an inflammatory synovitis. Clinical orthopaedics and related research 1987(223):308-12.
- Hahn YS, Kim JG. Pathogenesis and clinical manifestations of juvenile rheumatoid arthritis. Korean J Pediatr 2010;53(11):921-30.
- Boros C, Whitehead B. Juvenile idiopathic arthritis. Australian family physician 2010;39(9):630-6.
- Frick SL. Evaluation of the child who has hip pain. Orthop Clin North Am 2006;37(2):133-40
- Houghton KM. Review for the generalist: evaluation of pediatric hip pain. Pediatr Rheumatol Online J 2009;7:10.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | August 1, 2014 |
| Published in Issue | Year 2014 Volume: 6 Issue: 2 |