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Journal of Hand Surgery (British and European Volume)
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Idiopathic Multicentric Osteolysis Principally Affecting the Phalanges of the Hands and Feet

N. D. DOWNING, C. GARNAVOS and P. G. LUNN

From the Department of Orthopaedics and the Pulvertaft Hand Centre, Derbyshire Royal Infirmary, Derby, UK

Correspondence: N. D. Downing, FRCS, 4 Oakfield Mews, Cyprus Road, Mapperley Park, Nottingham, NG3 5EB, UK.

The case of a 64-year-old man with idiopathic symmetrical osteolysis affecting both hands and feet is presented. The phalanges were principally affected, with relative sparing of the carpus and tarsus. The relevant literature has been reviewed and this reveals that the distribution of osteolysis in this case is unique. We suggest that this case represents a different disease entity, which has not been described previously.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 5, 656-659 (1996)
DOI: 10.1016/S0266-7681(96)80153-7
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