CASE REPORTWeismann-Netter-Stuhl syndrome: first Brazilian case reports
Section snippets
Case 1
A 55-year-old Black woman presented with pain of the knees. The X-ray showed osteoarthritis of the knee joints. She developed lower limb deformities over the years, characterized by the bowing of the tibiae and the fibulae. She had no other complaints and there was no similar case in the family. Her physical examination was unremarkable except for an anterior bilateral curvature of the tibiae (figure 1A) and genu valgum as well as a bilateral bowing of the upper limbs. A thyroid nodule,
Discussion
The bone deformities of case 1 led to a misdiagnosis of Paget’s disease. However, in Paget’s disease the bones are asymmetrically affected, the cortical thickening affects both concave surfaces, the volume increases, there is coarsened trabeculae and the tubular bones’ involvement almost invariably begins in the epiphysis [9]. Those findings were not seen in our case. The fibulae enlargement seen in our case is not a common feature of Paget’s disease. The bone X-ray image may be helpful to
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