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Honda reports Chen. Sun Bo, Xue-Feng Zhu (Zouping County People's Hospital Radiology 256 200) Key words Bone wax like tears; metatarsal; X-ray diagnosis 【Key Words】 R816 Document code】【B wax-like bone disease, also known as tear limb striated hyperplasia, bone sclerosis is a rare disease, often occurs in long tubular bones, short tubular bones and short bones, flat bones rare. I will now institute the following case report of 2 cases. The clinical data of Example 1 1. Male, 36 years old. 3-year second metatarsal right foot pain due to the recent increase, affecting walking and treatment. Examination: right foot was swelling of the second metatarsal, high on, touch the surface uneven, hard as stone, border clearance, light tenderness. X-ray examination: right foot second metatarsal dorsal cortical thickening, hardening, was end joint not involved. X-ray diagnosis: Bone wax like tears. Operative findings: right foot dorsal second metatarsal bone mass in the hard,[link widoczny dla zalogowanych], clear boundary, no adhesion, chiseled. Pathology: mature bone tissue (histological examination). Example 2. Female, 42 years old. Right foot pain for 15 years, increased when walking, but slow progression, not to attract attention. Recently two weeks the pain got worse, to seek treatment. Physical examination: left ankle and foot swelling, skin color, normal, mild tenderness. X-ray examination: the outer cortex, the outer edge of the second metatarsal of left foot x-ray diagnosis: Bone wax like tears. 2 discussions Bone wax like tears from the Leri first reported in 1928, it is also known as Leri disease. Most scholars believe that an expansion of the subperiosteal periosteum capillary dysplasia u. No difference between men and women of this disease, the article number】【100r-9510 (2004) 02-0156-0l mostly adults. Usually manifested clinical pain, activity increased,[link widoczny dla zalogowanych], and more violations of the side of the body, bilateral rare. The diagnosis of the disease rely on X-ray examination. Based multi-joint disease is not one of the features involved. X ray can be divided into four types: ① cortex type: lesions to the cortical flow; ② cortical shape: The lesions of flows to the bone cortex; ③ cortex next to the type: The lesions in the soft tissue streamer; ④ mixed: more different types of combination L2j. We encountered 2 cases occurred in the short tubular bones, and documented in the literature occurred in the long tubular bones do not quite match the less likely the reason for the case. The disease must be differentiated with the following diseases: ① osteopetrosis: systemic bone sclerosis, cortical thickening, canal narrowing or complete occlusion, no wave-like changes in bone contour, brittle bones break easily, may have clinical liver, spleen,[link widoczny dla zalogowanych], lymph node enlargement and progressive anemia. ② sclerosing osteomyelitis: occurred in a bone, cortical thickening, uplift of the local shuttle, marrow hyperplasia, sclerosis, local bone destruction and periosteal proliferation. The disease is currently no special treatment, physical therapy and symptomatic treatment can be used to relieve pain. Disease is progressive,[link widoczny dla zalogowanych], rapid progress in the development of the disease, adult slow and does not affect the life, the prognosis is good. 【
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