COUGH AND CHEST PAIN WITH AN UNCOMMON CAUSE

Authors

  • Indrani Das
  • Payel Talukdar
  • Kalyan Das
  • Sumit Verma
  • Moloy Kanti Makhal

Abstract

Multiple  Hereditary  Exostoses  is  an  autosomal  dominant  disorder  with  multiple  cartilage  capped  bony  outgrowths  in  tibia  ,fibula, femur,  and  sometimes  the  ribs  and  scapula. They may  present  with  variety  of  symptoms  depending  on  the  structures  it  compresses  such  as  nerves,  arteries  or  may  lead  to  limb  deformities  or  may  cause  bursitis , or  may  undergo  malignant  transformation. A  33 year old  male  presented  to  our  outpatient  department  with  recurrent  cough  and  left  sided  chest  pain. On  evaluation  he  was  found  to  have  multiple  bony  outgrowths  in the scapula ,5th  rib , and  limbs. Similar  bony  outgrowths  were  also  present  in  his  father  and  grandfather. On  clinical  and  radiological  basis  a  diagnosis of  Multiple  Hereditary  Exostoses  was  made. His  symptoms  gradually  subsided  with  removal  of  the  rib  and  scapular  exostoses. Thus  evaluation  of  bony  structures  should  not  be  overlooked  in  cases  of  cough  and  chest  pain.

Keywords: Cough, Chestpain, Multiple  Hereditary  Exostoses.

 

Downloads

Download data is not yet available.

References

Hecht JT, Hogue D, Strong LC, Hansen MF, Blanton SH, Wagner M. Hereditary multiple exostosis and chondrosarcoma: Linkage to chromosome II and loss of heterozygosity for EXT-linked markers on chromosomes II and 8. Am J Hum Genet 1995;56(5):1125‑31.

Schmale GA, Conrad EU 3rd, Raskind WH. The natural history of hereditary multiple exostoses. J Bone Joint Surg Am 1994;76(7):986‑92.

Weinstein SL. Turek’s Orthopaedics Principles and their Application 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 263.

Blacksin MF, Benevenia J. Neoplasms of the scapula. AJR Am J Roentgenol 2000;174(6):1729-35.

Gfrörer W, Seifert J, Matthes G, Ekkernkamp A, Hinz P. Solitary osteochondroma of the scapula. A rare differential diagnosis with unspecific shoulder pain. Unfallchirurg 2005;108(8):684-6.

Gupta PP, Agarwal D. A middle-aged man with persisting chest opacity and multiple bony swellings. CMAJ 2006;175:1206.

Huang HR, Lin TY, Wong KS. Costal exostosis presenting with hemothorax: Report of one case. Eur J Pediatr 2006;165(5):342-3.

Porter DE, Lonie L, Fraser M, Dobson-Stone C, Porter JR, Monaco AP, et al. Severity of disease and risk of malignant change in hereditary multiple exostoses. A genotype-phenotype study. J Bone Joint Surg Br 2004;86(7):1041-6.

Clement ND, Ng CE, Porter DE. Shoulder exostoses in hereditary multiple exostoses: Probability of surgery and malignant change. J Shoulder Elbow Surg 2011;20(2):290-4.

Published

01-03-2015

How to Cite

Das, I., P. Talukdar, K. Das, S. Verma, and M. K. Makhal. “COUGH AND CHEST PAIN WITH AN UNCOMMON CAUSE”. Asian Journal of Pharmaceutical and Clinical Research, vol. 8, no. 2, Mar. 2015, pp. 2-3, https://journals.innovareacademics.in/index.php/ajpcr/article/view/3921.

Issue

Section

Case Study(s)