A 6-month-old infant presented with fever, anorexia, and marked irritability. The skin overlying the shin and mandible is neither warm nor discolored. There is no soft tissue swelling, and palpation reveals bony-hard thickening below the subcutaneous tissues, which are adherent to the underlying bone.
1. What are the x-ray findings in A and B?
2. What is the most likely diagnosis?
ANSWER: WEDNESDAY 28/11/2018
1.
ReplyDeleteA. Intense periosteal reaction and cortical thickening are seen in the lower extremities.
B. Mandibular involvement has resulted in dramatic thickening.
2.
Caffey disease.