Caffey Disease in Infancy: A diagnostic dilemma for primary care physicians

Caffey disease is a rare and self-limiting condition characterised by cortical hyperostosis with inflammation of adjacent fascia and muscles. It usually presents in infancy and clinical features include hyperirritability, acute inflammation with swelling of overlying soft tissues and subperiosteal n...

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Main Authors: Shahid A. Siddiqui, Gulnaz F. Siddiqui, Manisha Maurya, Anubha Shrivastava, Mukesh V . Singh
Format: Article
Language:English
Published: Sultan Qaboos University 2020-03-01
Series:Sultan Qaboos University Medical Journal
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/3516
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author Shahid A. Siddiqui
Gulnaz F. Siddiqui
Manisha Maurya
Anubha Shrivastava
Mukesh V . Singh
author_facet Shahid A. Siddiqui
Gulnaz F. Siddiqui
Manisha Maurya
Anubha Shrivastava
Mukesh V . Singh
author_sort Shahid A. Siddiqui
collection DOAJ
description Caffey disease is a rare and self-limiting condition characterised by cortical hyperostosis with inflammation of adjacent fascia and muscles. It usually presents in infancy and clinical features include hyperirritability, acute inflammation with swelling of overlying soft tissues and subperiosteal new bone formation. Awareness of the existence of this rare condition and its typical clinical and radiological profile will avoid unnecessary investigations and treatment and help the physician to explain its good prognosis to parents of affected children. We report a three-month-old male infant who presented to the Outpatient Paediatrics Department at Moti Lal Nehru Medical College, Allahabad, India, in 2018 with a right shoulder mass, decreased upper limb movements and irritability. The patient was treated with ibuprofen and paracetamol. Irritability and limitation of movement improved over a treatment period of two weeks. Keywords: Caffey Disease; Infant; Prostaglandin E1; Thrombocytosis; Case Report; India.
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spelling doaj.art-7d8ea6699ea94f1c80e30ae7cf45be032022-12-22T00:26:24ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282020-03-0120110911110.18295/squmj.2020.20.01.0172758Caffey Disease in Infancy: A diagnostic dilemma for primary care physiciansShahid A. Siddiqui0Gulnaz F. Siddiqui1Manisha Maurya2Anubha Shrivastava3Mukesh V . Singh4Department of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Allahabad, IndiaDepartment of Medicine, Central Research Institute of Unani Medicine, Hyderabad, IndiaDepartment of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Allahabad, IndiaDepartment of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Allahabad, IndiaDepartment of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Allahabad, IndiaCaffey disease is a rare and self-limiting condition characterised by cortical hyperostosis with inflammation of adjacent fascia and muscles. It usually presents in infancy and clinical features include hyperirritability, acute inflammation with swelling of overlying soft tissues and subperiosteal new bone formation. Awareness of the existence of this rare condition and its typical clinical and radiological profile will avoid unnecessary investigations and treatment and help the physician to explain its good prognosis to parents of affected children. We report a three-month-old male infant who presented to the Outpatient Paediatrics Department at Moti Lal Nehru Medical College, Allahabad, India, in 2018 with a right shoulder mass, decreased upper limb movements and irritability. The patient was treated with ibuprofen and paracetamol. Irritability and limitation of movement improved over a treatment period of two weeks. Keywords: Caffey Disease; Infant; Prostaglandin E1; Thrombocytosis; Case Report; India.https://journals.squ.edu.om/index.php/squmj/article/view/3516
spellingShingle Shahid A. Siddiqui
Gulnaz F. Siddiqui
Manisha Maurya
Anubha Shrivastava
Mukesh V . Singh
Caffey Disease in Infancy: A diagnostic dilemma for primary care physicians
Sultan Qaboos University Medical Journal
title Caffey Disease in Infancy: A diagnostic dilemma for primary care physicians
title_full Caffey Disease in Infancy: A diagnostic dilemma for primary care physicians
title_fullStr Caffey Disease in Infancy: A diagnostic dilemma for primary care physicians
title_full_unstemmed Caffey Disease in Infancy: A diagnostic dilemma for primary care physicians
title_short Caffey Disease in Infancy: A diagnostic dilemma for primary care physicians
title_sort caffey disease in infancy a diagnostic dilemma for primary care physicians
url https://journals.squ.edu.om/index.php/squmj/article/view/3516
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