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.
Highlights
Caffey disease or infantile cortical hyperostosis (ICH) is a rare, self-limiting disease characterised by acute inflammation of soft tissues and cortical thickening of underlying bone which usually presents in infants
Even though it has a good prognosis, there will be a diagnostic dilemma as it mimics a wide range of diseases like osteomyelitis, hypervitaminosis, bone tumours, scurvy and child abuse.[2]
Self-limiting disorder which is characterised by an acute inflammation of the periosteum and the covering soft tissues.[1,4]
Summary
Caffey disease or infantile cortical hyperostosis (ICH) is a rare, self-limiting disease characterised by acute inflammation of soft tissues and cortical thickening of underlying bone which usually presents in infants.
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