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Revue du rhumatisme
Volume 72, n° 7
pages 656-658 (juillet 2005)
Doi : 10.1016/j.rhum.2003.09.028
Received : 6 January 2003 ;  accepted : 12 September 2003
Une cause rare de masse cervicale douloureuse : la myosite ossifiante progressive de l'enfant
A rare cause of painful cervical swelling: myositis ossificans progressiva in childhood. Report of a case
 

Fatine Lasry , Abderrazak Touki, Abdelhak Abkari, Habiba Hadj Khalifa
Unité de néphrologie pédiatrique, service de pédiatrie III, hôpital d'enfants, CHU Ibn-Rochd, 172, boulevard Zerktouni, appartement 9, 4e étage, Casablanca, Maroc 

*Auteur correspondant.
Résumé

La myosite ou fibrodysplasie ossifiante progressive (MOP) est une maladie rare. Nous rapportons l'observation d'une fillette de 13 ans qui présente une MOP de la musculature paravertébrale cervicale et scapulaire. Les radiographies standard n'ont pas montré de squelette ectopique et la tomodensitométrie a mis en évidence un processus inflammatoire diffus. La radiographie des orteils a permis de confirmer le diagnostic en montrant les anomalies osseuses caractéristiques. La connaissance de ces anomalies osseuses des orteils et des mains doit permettre d'éviter une biopsie chirurgicale, en particulier, qui peut déclencher une poussée évolutive de la maladie. Son pronostic est réservé.

The full text of this article is available in PDF format.
Abstract

Myositis ossificans progressiva (MOP) is a rare condition of which we report a case in a 13-year-old girl with involvement of the cervical, paraspinal and periscapular muscles. No ectopic ossifications were visible on plain radiographs. Computed tomography disclosed diffuse inflammation. Plain radiographs of the toes confirmed the diagnosis by visualizing characteristic bone abnormalities. Knowledge of the digital abnormalities seen in MOP is important to avoid unnecessary diagnostic investigations, most notably a surgical biopsy, which may trigger a flare of the disease. The prognosis is guarded.

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Mots clés : Myosite ou fibrodysplasie ossifiante progressive, Maladie de Munchmeyer, Malformations des gros orteils

Keywords : Myositis ossificans progressiva, Fibrodysplasia ossificans progressiva, Munchmeyer disease, Congenital great toe abnormalities


  Pour citer cet article, utiliser ce titre en anglais et sa référence dans le même volume de Joint Bone Spine .


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