Cemal Kural1, Bülent Tanrıverdi1, Ersin Erçin1, Emre Baca1, Alev Kural2

1Department of Orthopedics and Traumatology, University of Health Science, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
2Department of Biochemistry Laboratory, University of Health Science, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey

Keywords: Finger, flowing candle wax, hand, melorheostosis, radiology

Abstract

Melorheostosis is a rare disease with skeletal system involvement. The etiology of the disease, which usually manifests itself with bending and pain in the long bones, is still unknown. We present a 20-year-old male patient admitted to our outpatient clinic with complaints of deformity and pain in the second finger of the hand that had become more evident in the last several years. Intense sclerosing and cortical thickening were observed radiologically in the second phalanges and metacarpal. Deformities in radiological evaluation, ‘flowing candle wax’ image in the medulla, and further laboratory examinations enabled us to diagnose the patient with a rare disease, melorheostosis. The patient, who was treated conservatively, has been attending his follow-up examinations regularly for the last three years and is still being followed up conservatively. In this case, we presented a case of this rare disease, which is the rarest hand involvement, in detail.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.