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3.
Reumatol Clin ; 7(2): 139-40, 2011.
Article in Spanish | MEDLINE | ID: mdl-21794799

ABSTRACT

Musculoskeletal pain is a frequent complaint in pediatrics usually related to benign conditions. However, it may also represent the initial symptom of serious diseases such as infections, malignancies or orthopedic emergencies. We present the case of a child diagnosed with Burkitt's lymphoma whose initial presentation was a limp. This is, to the best of our knowledge, the first case reported in the literature with this type of debut. This case illustrates the importance of including neoplasms in the differential diagnosis of atypical musculoskeletal pain, since early diagnosis can significantly improve their prognosis.


Subject(s)
Burkitt Lymphoma/diagnosis , Diagnostic Errors , Gait , Musculoskeletal Pain/etiology , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Biopsy, Fine-Needle , Bone Marrow/diagnostic imaging , Bone Marrow/pathology , Burkitt Lymphoma/complications , Burkitt Lymphoma/diagnostic imaging , Burkitt Lymphoma/drug therapy , Child, Preschool , False Negative Reactions , Humans , Lymph Nodes/pathology , Magnetic Resonance Imaging , Male , Musculoskeletal Pain/diagnostic imaging , Musculoskeletal Pain/pathology , Radionuclide Imaging , Synovitis/diagnosis , Ultrasonography , Wilms Tumor/diagnosis
4.
Reumatol. clín. (Barc.) ; 7(2): 139-140, mar.-abr. 2011. ilus
Article in Spanish | IBECS | ID: ibc-86115

ABSTRACT

Los dolores musculoesqueléticos son un motivo de consulta frecuente en Pediatría. En la mayoría de las ocasiones se trata de síntomas inespecíficos sin relación con enfermedades graves, aunque pueden representar el síntoma inicial de procesos que requieran una atención inmediata como son infecciones, neoplasias o urgencias ortopédicas. Este caso clínico ilustra la importancia de incluir en el diagnóstico diferencial del dolor musculoesquelético de evolución atípica a las neoplasias, dado que un diagnóstico precoz puede mejorar significativamente su pronóstico(AU)


Musculoskeletal pain is a frequent complaint in pediatrics usually related to benign conditions. However, it may also represent the initial symptom of serious diseases such as infections, malignancies or orthopedic emergencies. We present the case of a child diagnosed with Burkitt's lymphoma whose initial presentation was a limp. This is, to the best of our knowledge, the first case reported in the literature with this type of debut. This case illustrates the importance of including neoplasms in the differential diagnosis of atypical musculoskeletal pain, since early diagnosis can significantly improve their prognosis(AU)


Subject(s)
Humans , Male , Child , Burkitt Lymphoma/complications , Burkitt Lymphoma/diagnosis , Pain/complications , Pain/etiology , Ultrasonography/methods , Biopsy , Immunohistochemistry , Burkitt Lymphoma/physiopathology , Burkitt Lymphoma , Gait/physiology , Gait Disorders, Neurologic/complications , Gait Disorders, Neurologic/diagnosis , Diagnosis, Differential , Lower Extremity/pathology , Lower Extremity
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