Akroosteolyse

Lost bones:
differential diagnosis of acro-osteolysis seen by the pediatric rheumatologist. Frontal radiograph of the left hand in a 14 year old male patient with hyperparathyroidism demonstrates acro-osteolysis (arrowheads), subperiosteal resorption at the middle phalanges (small arrows), brown tumors (large arrows) and diffuse osteopenia
ped-rheum.biomedcentral.com • CC-by-4.0
Hajdu-Cheney
Syndrome : acro-osteolysis of all distal phalanges, platybasia, thickened occipital bone, open sutures, and wormian bones. This picture was used in the following article: "Truncating mutations in the last exon of NOTCH2 cause a rare skeletal disorder with osteoporosis." Isidor B. & al. Nat Genet. 2011 Mar 6. https://www.ncbi.nlm.nih.gov/pubmed/21378989
Wikipedia • CC BY-SA 3.0
Erosive
Arthropathy in systemic sclerosis. X-ray of hands showing. - Erosion of the fourth and the fifth proximal inter phalangeal joint on the left hand. - Terminal phalangeal tuft resorption (arrow).
bmcpublichealth.biomedcentral.com • CC-by-2.0
Lost bones:
differential diagnosis of acro-osteolysis seen by the pediatric rheumatologist. Frontal (a) and oblique (b) radiographs of the hands in a 14 year old male patient with primary hypertrophic osteoarthropathy demonstrate bilateral and symmetric tuft resorption and remodeling. Smooth periostitis involves the proximal phalangeal shafts (arrows). Frontal radiograph of the feet (c) shows smooth tapering of the distal tufts
ped-rheum.biomedcentral.com • CC-by-4.0
Lost bones:
differential diagnosis of acro-osteolysis seen by the pediatric rheumatologist. Frontal radiograph of the toes in a 14 year old female patient with juvenile psoriatic arthritis demonstrates focal soft tissue swelling of the fourth digit, with tapering of the distal phalanx and resorption of the distal tuft cortex
ped-rheum.biomedcentral.com • CC-by-4.0
Lost bones:
differential diagnosis of acro-osteolysis seen by the pediatric rheumatologist. Frontal radiographs of the hands in a 13 year old male patient with systemic sclerosis show tuft resorption consistent with acro-osteolysis. No soft tissue calcifications present
ped-rheum.biomedcentral.com • CC-by-4.0
Osteopetrosis.
Pycnodysostosis: Hand radiograph, age 3 years. Note acro-osteolysis in the distal phalanx of thumb and index fingers (arrows) and generalised increased bone density.
ojrd.biomedcentral.com • CC-by-2.0
Scleroderma
(musculoskeletal manifestations) • Scleroderma - Ganzer Fall bei Radiopaedia
training T, Scleroderma. Case study, Radiopaedia.org (Accessed on 05 Jan 2023) https://doi.org/10.53347/rID-18288 • CC by-nc-sa 3.0 (modified)
Radiopaedia • CC-by-nc-sa 3.0 • de

Acro-osteolysis (plural: acro-osteolyses) refers to resorption of the distal phalanx. The terminal tuft is most commonly affected. It is associated with a heterogeneous group of pathological entities and, some of which can be remembered by using the mnemonic PINCH FO.

When there is linear bone resorption of the midshaft of the distal phalanx with a relatively spared terminal tuft, the condition is also referred to as band acro-osteolysis and carries a more limited differential diagnosis.

Pathology

Multiple digits
Terminal tuft resorption
Midshaft resorption (band acro-osteolysis)
Single digit 
Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Akroosteolyse:
Dermatomyositis
 
pediatricimaging.org • CC-by-nc-sa 4.0
primärer
Hyperparathyreoidismus
Wikipedia • CC BY-SA 4.0
Systemische
Sklerodermie
Wikipedia • CC BY-SA 4.0
Psoriasisarthritis
 
Wikipedia • Public domain
Hajdu-Cheney-Syndrom
 
Wikipedia • CC BY-SA 3.0
epidermale
Inklusionszyste
Wikipedia • CC BY-SA 4.0
muskuloskelettale
Manifestationen bei Sklerodermie
bmcpublichealth.biomedcentral.com • CC-by-2.0