Abstract
Hardcastle syndrome is a rare, autosomally dominant inherited skeletal dysplasia, characterized by diaphyseal sclerosis, medullary stenosis, pathological fractures, bony infarction, and malignant transformation. A 19-year-old proband is presented and discussed, adding a fourth family to the world literature. Radiographic screening of family members is suggested from puberty onward. Thallium scanning is proposed as a more tumor-sensitive screening agent in affected individuals.
MeSH terms
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Adult
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Aged
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Biopsy
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Bone Neoplasms / complications
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Bone Neoplasms / diagnostic imaging*
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Camurati-Engelmann Syndrome / complications
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Camurati-Engelmann Syndrome / diagnostic imaging*
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Camurati-Engelmann Syndrome / genetics
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Diaphyses / diagnostic imaging*
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Diaphyses / pathology
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Female
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Femur / diagnostic imaging
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Fibula / diagnostic imaging
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Histiocytoma, Benign Fibrous / complications
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Histiocytoma, Benign Fibrous / diagnostic imaging*
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Humans
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Magnetic Resonance Imaging
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Male
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Organotechnetium Compounds
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Osteosclerosis / complications
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Osteosclerosis / diagnostic imaging*
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Pedigree
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Thallium Radioisotopes
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Tibia / diagnostic imaging
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Tomography, Emission-Computed
Substances
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Organotechnetium Compounds
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Thallium Radioisotopes