European Journal of Pediatrics

, Volume 136, Issue 1, pp 41–46 | Cite as

Phalangeal microgeodic syndrome in childhood: Report of seven cases and review of the literature

  • N. Kaibara
  • S. Masuda
  • I. Katsuki
  • T. Hotokebuchi
  • K. Shibata
  • H. Sada
  • M. Eguchi
Original Investigations


Seven cases of phalangeal microgeodic syndrome in childhood are reported. Reviewing the literature, we have found a total of thirty Japanese cases, including the cases of our own. On the other hand, only ten cases have been reported outside Japan. The mean age of onset of the Japanese cases was six and a half years, which is older than that in the initial description. Of further interest is the fact that all the cases in Japan occurred sporadically and exclusively in winter, and regressed spontaneously and fairly rapidly within six months. Furthermore, most of the cases reported in Europe also occurred in the winter months. These facts imply an etiological relationship between the lowered temperature and the bone lesions.

Key words

Bone disease Chilblains (Frostbite) Finger Childhood 


  1. 1.
    Akasaka S, Sasai Y, Furuta K (1976) A case of microgeodic disease. Shizuoka J Med (in Japanese) 4: 111–114Google Scholar
  2. 2.
    Boggild D (1944) To tilfaelde af formentlig ‘Boeck's sarcoid’ i fingerknogler hos smaapiger. Nord Med 21: 416–418Google Scholar
  3. 3.
    Cone RB (1948) A review of Boeck's sarcoid with analysis of twelve cases occurring in children. J Pediat 32: 629–640Google Scholar
  4. 4.
    Hatanaka I, Itoh R, Maruoka T, Negoro H, Nakano K (1978) Bone-destructive disease, resembling the osteomyelitis, of unknown etiology affecting the phalanges in children. Cent Jpn J Orthop Traum (in Japanese) 21: 1331–1333Google Scholar
  5. 5.
    Holt JF, Owens WI (1949) The osseous lesions of sarcoidosis. Radiology 53: 11–30Google Scholar
  6. 6.
    MacCarthy J, O'Brien N (1976) Phalangeal microgeodic syndrome of infancy. Arch Dis Child 51: 472–474Google Scholar
  7. 7.
    Maroteaux P (1970) Cinq observations d'une affection microgéodique des phalanges du nourrisson d'étiologie inconnue. Ann Rad 13: 229–236Google Scholar
  8. 8.
    Matsumoto A, Iwama M, Kanai A, Mori M (1978) A case of microgeodic disease with abnormal bone marrow findings. Jpn J Pediatr (in Japanese) 31: 1731–1734Google Scholar
  9. 9.
    Newns GH, Hardwick C (1939) Besnier-Böeck's disease in an infant. Arch Dis Child 14: 78–83Google Scholar
  10. 10.
    Shimizu T, Tamura E, Kawato H, Kitayama T (1978) A case of microgeodic disease with mycoplasma infection. Acta Pediatr Jpn (in Japanese) 82: 91Google Scholar
  11. 11.
    Stein GN, Israel HL, Sones M (1956) A roentgenographic study of skeletal lesions in sarcoidosis. Arch Int Med 97: 532–536Google Scholar
  12. 12.
    Sugiura Ya, Kaneko M, Kataoka O, Nagira F, Ueke T, Tajima T, Asai T (1976) Bone changes of unknown etiology affecting phalanges of fingers in children. Pediat Radiol 4: 243–250Google Scholar
  13. 13.
    Sugiura Yo, Kasahara T, Akimoto T, Kuwabata S, Koshikita O, Magara A (1977) Five cases of microgeodic disease affecting the phalanges in children. Orthop Surg (in Japanese) 28: 1583–1586Google Scholar
  14. 14.
    Sunaga A, Ohno H, Ueda R, Ichinose T, Sugawara S (1976) Infantile hematogeneous osteomyelitis of the hand. Kanto J Orthop Traum (in Japanese) 7: 418–421Google Scholar
  15. 15.
    Sweet EM, Smith MGH (1979) “Winter fingers.” Bone infarction in Scottish children as a manifestation of cold injury. Ann Rad 22: 71–75Google Scholar
  16. 16.
    Taybi H (1975) Radiology of syndromes. Year Book Medical Publishers, Chicago, p 208Google Scholar
  17. 17.
    Wiedemann H-R (1972) Ein Fall zur Diagnose (Knochentuberkulose? BCG-Sarkoidose? Rheumatoide Arthritis? Kryptogene Osteolyse? Mucopolysaccharidose?). Fortschr Röntgenstr 116: 216–223Google Scholar

Copyright information

© Springer-Verlag 1981

Authors and Affiliations

  • N. Kaibara
    • 1
  • S. Masuda
    • 1
  • I. Katsuki
    • 1
  • T. Hotokebuchi
    • 1
  • K. Shibata
    • 1
  • H. Sada
    • 1
  • M. Eguchi
    • 1
  1. 1.Department of Orthopaedic Surgery, Faculty of MedicineKyushu UniversityFukuokaJapan

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