Summary
Progressive diaphyseal dysplasia is a rare osteosclerotic dysplasia of the bone which presents clinically with bone pain, muscle weakness and a waddling gait. Radiography, which shows progressive hyperostosis along the long bones forms the basis of the diagnosis. We present a young patient in whom pain and limitation of movement in the shoulder joint area, mimicking capsulitis, were the presenting symptoms of the disease. The diagnostic and the therapeutic approach to this unusual disorder are discussed.
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Camurati, M. Di un raro caso di osteite simmetrica ereditaria degli arti inferiori. Chir Organi Mov 1922, 6, 622–665.
Engelmann, G. Ein fall von osteopathia hyperostotica (sclerotisans) multiplex infantilis. Fortschr Geb Rontgenstr 1929, 39, 1101–1106.
Griffits, D.L. Engelmann's disease. J Bone Joint Surg 1956, 38B, 312–326.
Girdany, B.R. Engelmann's disease (progressive dyaphyseal dysplasia): a non-progressive familial form of muscular dystrophy with characteristic bone changes. Clin Orthop 1959, 14, 102–109.
Clawson, D.K., Look, J.W. Progressive diaphyseal dysplasia (Engelmann's disease). J Bone Joint Surg 1964, 46A, 143–150.
Sparkes, R.S., Graham, C.B. Camurati Engelmann disease: Genetics and clinical manifestations with a review of the literature. J Med Genet 1972, 9, 73–85.
Hundley, J.D., Wilson, F.C. Progressive dyaphyseal dysplasia: review of literature and report of seven cases in one family. J Bone Joint Surg 1973, 55A, 461–474.
Crisp, A.J., Brenton, D.P. Engelmann's disease of bone — a systemic disorder?. Ann Rheum Dis 1982, 41, 183–188.
Wirth, C.R., Kay, J., Bourke, R. Diaphyseal dysplasia (Engelmann's syndrome). A case report demonstrating a deficiency in cortical Haversian system formation. Clin Orthop Rel Res 1982, 171, 186–195.
Naveh, Y., Kaftori, J.K., Alon, U., Ben David, J., Berant, M. Progressive diaphyseal dysplasia: genetics, clinical and radiological manifestations. Pediatrics 1984, 74, 399–405.
Cohen, J., States, J.D. Progressive diaphyseal dysplasia: Report of a case with autopsy findings. Lab Invest 1956, 5, 492–495.
Lennon, E.A., Schecter, M.M., Hornabrook, R.W. Engelmann's disease. Report of a case with a review of the literature. J Bone Joint Surg 1961, 43B, 273–284.
Mottram, M.E., Hill, H.A. Diaphyseal dysplasia. Report of a case. Am J Roentgenol 1965, 95, 162–167.
Minford, A.M.B., Hardy, G.H., Forsythe, W.I., Fitton, J.M., Rowe, V.L. Engelmann's disease and the effect of corticosteroids. J Bone Joint Surg 1981, 63B, 597–600.
Pollack, S., Naveh, Y., Katz, P. Immunological investigations in 2 families with progressive diaphyseal dysplasia. J Rheumatol 1989, 16, 1259–1262.
Kumar, B., Murphy, W.A., White, M.P. Progressive diaphyseal dysplasia (Engelmann's disease). Scintigraphic-radiographic-clinical correlations. Radiology 1981, 140, 87–92.
Naveh, Y., Ludatscher, R., Alon, U., Sharf, B.Muscle involvement in progressive diaphyseal dysplasia. Pediatrics 1985, 76, 944–949.
Allen, D.T., Saunders, A.M., Northway, W.H., Williams, G.F., Schageri, A. Corticosteroids in the treatment of Engelmann's disease: Progressive dyaphyseal dysplasia. Pediatrics 1970, 46, 523–531.
Naveh, Y., Alon, U., Kaftori, J.K., Berant, M. Progressive dyaphyseal dysplasia: evaluation of corticosteroid therapy. Pediatrics 1985, 75, 321–323.
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Schapira, D., Militeanu, D., Israel, O. et al. Progressive diaphyseal dysplasia masquerading as shoulder capsulitis in an adult. Clin Rheumatol 14, 582–585 (1995). https://doi.org/10.1007/BF02208162
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DOI: https://doi.org/10.1007/BF02208162