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Leontiasis Ossea: A Clinical and Roentgenological Entity

Leontiasis Ossea: A Clinical and Roentgenological Entity Leontiasis Ossea: A Clinical and Roentgenological Entity Report of a Case J. H. Gemmell , M.D. Philipsburg, Pa. Excerpt History THE patient, M. C., a male child of English extraction, aged seven and one-half years, was first referred to the orthopedic clinic of this hospital in June, 1931, with the complaint of a misshapen, enlarged head, curvature of the spine, and general debility. Roentgenograms of the skull and of the bones of the legs were taken, and at this time the family was notified that nothing from an orthopedic standpoint could be done for the child. In October, 1934, when he was almost eleven years old, the child returned to the out-patient department for more complete study. The boy was the fourth of seven living children of the mother, now 31 years of age. In addition to the seven children, she had had three other pregnancies, two resulting in miscarriages in early months, and the other resulting in the death of the child at birth, due to injury. All of the other living children are entirely free of physical defect. There is no antecedent history of any defect resembling that of this particular child. The mother had a normal labor in giving birth to the patient, and states that she believed his head to be a little large but that otherwise he seemed normal. He was breast-fed until the age of one year, sat up alone at seven or eight months, and began to walk at about one year. There is a history of an attack of scarlet fever during the second year, with subsequent drainage from the ears for a long time, with a resultant hearing defect. Also, there was a severe attack of measles at four but with apparent complete recovery. At the age of six, the patient developed an infection in the right hand following an injury by a splinter of wood. This required considerable attention from a surgeon before healing finally took place; it is stated that the boy has had practically no use of the right arm and forearm since. The mother says that she was not impressed with anything particularly unusual about the boy's head, except for size, until the seventh year, when it became noticeably more enlarged and of a peculiar shape, and began to hang over to the left side. The boy began school during that year but had to drop out due to failure to progress in his studies, and because of defective vision and his general physical condition. Since that time he has remained at home continually, and although able to be up and around, he is handicapped physically by the enormity of his head and the paresis of the right arm, and mentally by the defects in hearing and sight, and by inability to obtain any proper training. The child behaves well, is useful at home insofar as he is able, and his only complaint is of occasional headache. Gradual further enlargement of the head has been reported in the past three and one-half years, but there is little apparent change in the general appearance or contour of the skull and face since the examination in 1931. Physical Examination The child is generally underdeveloped and underweight for age eleven. Copyrighted by The Radiological Society of North America, Inc. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Radiology Radiological Society of North America, Inc.

Leontiasis Ossea: A Clinical and Roentgenological Entity

Gemmell, J. H.
Radiology , Volume 25 (6): 723 – Dec 1, 1935
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Publisher
Radiological Society of North America, Inc.
Copyright
Copyright © 1935 by Radiological Society of North America
ISSN
1527-1315
eISSN
0033-8419
DOI
10.1148/25.6.723
Publisher site
See Article on Publisher Site

Abstract

Leontiasis Ossea: A Clinical and Roentgenological Entity Report of a Case J. H. Gemmell , M.D. Philipsburg, Pa. Excerpt History THE patient, M. C., a male child of English extraction, aged seven and one-half years, was first referred to the orthopedic clinic of this hospital in June, 1931, with the complaint of a misshapen, enlarged head, curvature of the spine, and general debility. Roentgenograms of the skull and of the bones of the legs were taken, and at this time the family was notified that nothing from an orthopedic standpoint could be done for the child. In October, 1934, when he was almost eleven years old, the child returned to the out-patient department for more complete study. The boy was the fourth of seven living children of the mother, now 31 years of age. In addition to the seven children, she had had three other pregnancies, two resulting in miscarriages in early months, and the other resulting in the death of the child at birth, due to injury. All of the other living children are entirely free of physical defect. There is no antecedent history of any defect resembling that of this particular child. The mother had a normal labor in giving birth to the patient, and states that she believed his head to be a little large but that otherwise he seemed normal. He was breast-fed until the age of one year, sat up alone at seven or eight months, and began to walk at about one year. There is a history of an attack of scarlet fever during the second year, with subsequent drainage from the ears for a long time, with a resultant hearing defect. Also, there was a severe attack of measles at four but with apparent complete recovery. At the age of six, the patient developed an infection in the right hand following an injury by a splinter of wood. This required considerable attention from a surgeon before healing finally took place; it is stated that the boy has had practically no use of the right arm and forearm since. The mother says that she was not impressed with anything particularly unusual about the boy's head, except for size, until the seventh year, when it became noticeably more enlarged and of a peculiar shape, and began to hang over to the left side. The boy began school during that year but had to drop out due to failure to progress in his studies, and because of defective vision and his general physical condition. Since that time he has remained at home continually, and although able to be up and around, he is handicapped physically by the enormity of his head and the paresis of the right arm, and mentally by the defects in hearing and sight, and by inability to obtain any proper training. The child behaves well, is useful at home insofar as he is able, and his only complaint is of occasional headache. Gradual further enlargement of the head has been reported in the past three and one-half years, but there is little apparent change in the general appearance or contour of the skull and face since the examination in 1931. Physical Examination The child is generally underdeveloped and underweight for age eleven. Copyrighted by The Radiological Society of North America, Inc.

Journal

Radiology – Radiological Society of North America, Inc.

Published: Dec 1, 1935

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