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Caffey disease

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Swelling and redness in the leg.

Patient Data

Age: Six months
x-ray

Periosteal reaction along the left tibia, sparing the metaphyses.

One month later

x-ray

The previously identified periosteal reaction progressed into a lamellated periosteal reaction along the entire shaft of tibia sparing the metaphyses.

Case Discussion

A diagnosis of infantile cortical hyperostosis (Caffey disease) was made considering the age group and the radiographic picture.

Child was followed up for 3 months with analgesics and anti-inflammatory drugs. The clinical signs and symptoms resolved gradually.

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