Bone Scintigraphy in Poststreptococcal Periostitis With Dysproteinemia

Clin Nucl Med. 2018 Oct;43(10):e366-e367. doi: 10.1097/RLU.0000000000002208.

Abstract

A 39-year-old man presented with severe bone pain in the tibiae and forearms in the wake of a poststreptococcal sepsis complicated with pneumonia and erysipelas 4 months earlier. Bone scintigraphy was indicative of periostitis of the tibia, ulna, and radius bilaterally, and in combination with the increased inflammatory parameters and dysproteinemia, the diagnosis of Goldbloom syndrome was made. Goldbloom syndrome is an idiopathic periosteal hyperostosis associated with dysproteinemia and elevated inflammatory parameters. Although it has only been described in children/adolescents, this case illustrates that, in the specific clinical and biochemical setting, it should also be considered in adults.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone and Bones / diagnostic imaging*
  • Humans
  • Male
  • Periostitis / blood*
  • Periostitis / complications
  • Periostitis / diagnostic imaging
  • Periostitis / microbiology*
  • Radionuclide Imaging
  • Streptococcus / physiology*