Presentation of melorheostosis with pain and swelling of the hand bones: A case report and review of literature

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Vojdanian Mahdi; Daskareh Mahyar

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Journal Paper

Paper Information

Journal: RHEUMATOLOGY RESEARCH Year:2024 | Volume:9 | Issue:3 Page(s): 159-164

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Title

Presentation of melorheostosis with pain and swelling of the hand bones: A case report and review of literature

Author(s)

Vojdanian Mahdi | Daskareh Mahyar | Issue Writer Certificate

Keywords

melorheostosis

Leri disease

Tumor

Malignancy

mitogen-activated protein kinase

Abstract

Melorheostosis is a rare disease also known as Leri disease with about 400 cases in the world with unknown etiology although relations with mitogen-activated protein kinase 1 gene and LEM domain-containing protein 3 gene mutations are described. We presented a case of melorheostosis referred to the rheumatology clinic with pain and swelling in the middle phalanx of the index finger and second metacarpal bone of right hand. X-ray of the hand showed a hyperdense lesions in the hand bones with obliteration of the medulla. Right hand magnetic resonance imaging showed signal loss of bone marrow in the second metacarpal bone and middle phalanx of the index finger along with severe periosteal edema. Bone biopsy confirmed melorheostosis.

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