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Radiology, Vol 118, 597-601, Copyright © 1976 by Radiological Society of North America

ARTICLES

Periostitis and pseudoperiostitis

DM Forrester and J Kirkpatrick

Increased metabolic activity with the periosteum is demonstrated radiographically by the presence of a linear shadow of bone paralleling the cortex, most commonly reflecting increased osteoblastic activity and thus representing periosteal new bone. This is frequently seen in psoriatic arthritis and Reiter's syndrome. A similar picture occurs with increased osteoclastic activity and reflects rapid demineralization, simulating periostitis. This change must be recognized as a reflection of osteoporosis, lest the condition be misdiagnosed as inflammatory disease.




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Copyright © 1976 by the Radiological Society of North America.