Marzo 2009 - Volume XXVIII - numero 3
Pagine elettroniche ; Caso Contributivo
1Divisione di Ortopedia e Traumatologia, Ospedale Infantile “Regina Margherita”, Torino
2Scuola di Specializzazione in Pediatria, Università di Torino
3SC di Pediatria, Ospedale Civile “Edoardo Agnelli”, Pinerolo (Torino)
Indirizzo per corrispondenza: sardinicola@hotmail.com
Key words: Osteoid osteoma, Treatment, Percutaneous radiofrequency ablation
Osteoid osteoma (OO) is a small, benign bone tumour that occurs in young people. The most common skeletal sites are the metaphysis or diaphysis of long bones. We report a case of a 13-year-old boy with a 5-month history of pain in the right femur. For the persistence and the increasing of the pain the boy underwent a right lower limb CTscan that revealed a well-defined, 5 mm cortical lesion of the distal femur characteristic of an OO. Therefore a percutaneous radiofrequency ablation (PRA) of the OO under CTscan guide was performed: after the treatment there was a complete remission of the pain and at the 3-month-follow-up the child remained symptoms free. Our experience confirms literature data supporting the use of PRA as a minimal invasive and effective treatment for OO.
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Pagine elettroniche ; Caso Contributivo
1SC di Neonatologia e Terapia Intensiva Neonatale,
2SC di Genetica Medica, IRCCS “Burlo Garofolo”, Trieste
*Attualmente SC Centro Coordinamento Regionale Malattie Rare, Azienda Ospedaliero-Universitaria “Santa Maria della Misericordia”, Udine
Indirizzo per corrispondenza: ciana.giovanni@aoud.sanita.fvg.it
Key words: Pallister-Killian syndrome, 12p tetrasomy, Iroquois Indians hair, Hyper pigmentation lines
The careful classification of a psychomotor delay in an infant is often a difficult task for paediatricians. Many hospital admissions for clinical, instrumental and laboratory investigations, are often needed, even though an exact diagnosis is not always reached. In some cases, however, the presence of a few very distinctive clinical features may allow for a prompt diagnosis and induce the paediatrician to choose the best diagnostic tools to confirm the clinical picture. We report one case of Pallister-Killian syndrome with mental retardation, streaks of hyper-pigmentation, and facial anomalies, including prominent forehead with sparse anterior scalp hair.
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