Orthopedics


        

Case Discussion

multiple lumps on bones   Posted By Somaratna    Date : 13-Dec-08   09:33 PM     Reply

Dear Sir, Medical Consultation I have a question with my daughter of 15 years old having multiple lumps on her bones, particularly on the bone on the left leg just above the knee. There is one on a finger as well and a few more. The above two are more visible. Doctors have identified the problem as Hereditary multiple exostoses (HME) and as a result of which her growth has been affected. She is much shorter than other girls of her age. I need assistance of a Specialist Doctor to attend to her problems. Could you please direct me to a correct person on this so that I could visit him end December, 2008 or the 1st week of January 2009.

Detailed medical history:

She was 3.70 kg at the birth. There was nothing abnormal other than she was refusing meals until she was grown. Feeding was done by wife and myself almost forcibly. She was heathy even though she was not much grown. She attained at 11 yeas and we noted that that there was no much change in her growth as normally what we see from a girl. We first detected her sickness with bones only at this stage. One fingre in her left hand could not be properly bent but as at now this disablity is not there. (Please see x-ray sheet in the attachment) Also There was a lump on the bone just above the knee of the Right Leg but this also now not much vissible/significant but instead a new growth in her Left Leg at the same location as of Right Leg previously. There was also a abnormal growth of brnes at chest but there seemed to be no much growth of them. The most significant of available lumps are on Left Leg above the Knee and which is paining and almost at the begining of Right Arm below the shoulder but is not paining. Rest of the Lumps are not paining. Over the 15 years she had no severe sicknesses except that she was subjected to a surgery in the year 2000 for a grwth in her Lip. Doctors have identified this as Hereditary Multiple Exostoses but treatment was recommended. Some explained some of the lumps may diminish with the time and what is left may be operated and removed after she was 18 years old. However explained that the poor growth of my daughter was due to the abnormal pattern of growth bones. She is only about 4'-3" and one of our main warries is that. We need that grows at least by another 4" - 5.5". Recent and relevant Medical Reports: Attached a scaned copy. Unfortunately her X-ray copies at Chest and Leg cannot be scanned.

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Replies to the above case discussion :

Re : multiple lumps on bones - DR VIKAS TANDON 13-Dec-08    11:54 PM




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