Presentation
Withheld.
Patient Data
All metacarpals are shortened.
Case Discussion
The patient had a history of Turner syndrome, type 1 diabetes mellitus, hypothyroidism and celiac disease.
It is known that the shortening of the 4th and 5th metacarpals is seen in a variety of conditions including 1:
idiopathic
post-traumatic
post-infectious
Turner syndrome
pseudohypoparathyroidism
basal cell nevus syndrome - Gorlin syndrome
sickle cell disease with secondary infarction
hereditary multiple exostosis syndrome
homocystinuria
Langer- Giedion syndrome.
In addition, the shortening of isolated 5th metacarpals has recently been described in a family of variant type 1 diabetes mellitus 2.
This patient is a particular case, which presents with all metacarpals shortening and not only the fourth and fifth, in association with a set of possible diseases that promote shortened metacarpals.
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