Caffey Disease: A Diagnostic Dilemma

Authors

  • Shanti Regmi Department of Paediatrics, Chitwan Medical College, Bharatpur, Chitwan, Nepal
  • Sudhir Adhikari Department of Paediatrics, Chitwan Medical College, Bharatpur, Chitwan, Nepal
  • Deekshanta  Sitaula Department of Paediatrics, Chitwan Medical College, Bharatpur, Chitwan, Nepal
  • Ananda Prasad Regmi Department of Orthopaedics, Chitwan Medical College, Bharatpur, Chitwan, Nepal
  • Gaurav Neupane Department of Orthopaedics, Chitwan Medical College, Bharatpur, Chitwan, Nepal
  • Biraj Parajuli Department of Paediatrics, Chitwan Medical College, Bharatpur, Chitwan, Nepal
  • Sumita Poudel Department of Paediatrics, Chitwan Medical College, Bharatpur, Chitwan, Nepal

DOI:

https://doi.org/10.3126/jnps.v41i2.34893

Keywords:

Caffey Disease, Infantile Cortical Hyperpostosis, Osteomyelitis (CRMO)

Abstract

Caffey disease is a rare, self limiting condition which usually presents in early infancy. The clinical features include fever, irritability, inflammatory swelling of soft tissue due to acute inflammation of the periosteum and subperiosteal new bone formation. Possible differential diagnoses are osteomyelitis, hypervitaminosis A, scurvy, bone tumours, prolonged use of Prostaglandin E1 (PGE1) and child abuse. Although self-limiting, it can cause diagnostic dilemma leading to delayed diagnosis and unnecessary investigations. Here, we report a case of two month old male infant presenting with painful left scapular mass.

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Published

2021-11-03

How to Cite

Regmi, S., Adhikari, S.,  Sitaula, D., Regmi, A. P., Neupane, G., Parajuli, B., & Poudel, S. (2021). Caffey Disease: A Diagnostic Dilemma. Journal of Nepal Paediatric Society, 41(2), 274–277. https://doi.org/10.3126/jnps.v41i2.34893

Issue

Section

Case Reports