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Case report
Rare case of adult-onset phalangeal microgeodic syndrome of the feet
  1. Mostafa Ellatif1,
  2. Ajay Sahu2,
  3. Sonya Abraham3,
  4. Craig Rosenbloom4 and
  5. Robin Chatterjee5
  1. 1Radiology Department, London North West Healthcare NHS Trust, Harrow, UK
  2. 2Radiology Department, Ealing Hospital, London, UK
  3. 3Imperial College Healthcare NHS Trust, London, London, UK
  4. 4Queen Mary University of London, London, UK
  5. 5Institute of Sport & Exercise Health, London, UK
  1. Correspondence to Dr Mostafa Ellatif; mostafa.ellatif{at}nhs.net

Abstract

Phalangeal microgeodic syndrome (PMS) is a rare condition typically affecting children and is characterised by painful digits precipitated by cold temperatures. In medical literature, cases appear to be clustered in Japan. Adult-onset PMS is particularly rare and although imaging features are characteristic, it may go undiagnosed, as it is not commonly encountered. We present, to our knowledge, the fifth reported case in the literature of adult PMS, the second to affect the feet rather than hands, and the first in a Caucasian adult patient. This case report aims to raise awareness of this likely underdiagnosed condition to allow optimal management and avoidance of unnecessary diagnostic procedures.

  • orthopaedics
  • radiology
  • musculoskeletal syndromes
  • sports and exercise medicine

https://doi.org/10.1136/bcr-2021-242256

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    Footnotes

    • Contributors ME contributed to conception and design of the case report, drafting and revising the preliminary drafts, and agreed on the final version to be published. AS contributed to conception and design of the case report, revising the preliminary drafts and agreed on the final version to be published. SA contributed to conception and design of the case report, revising the preliminary drafts and agreed on the final version to be published. RC contributed to conception and design of the case report, revising the preliminary drafts and agreed on the final version to be published. All authors have agreed to be accountable for all aspects of the work if questions arise related to its accuracy or integrity.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.