Digital Acro-osteolysis Revealing Hajdu-Cheney Syndrome in an Elderly Patient: A Case Report.
Antonio García-Jiménez, Lluis Pomerol, Eulàlia Armengol
✦ AI-curated · Sources linked
Case in brief
An 85-year-old woman presented with infectious dactylitis of the right third finger. Radiographic examination revealed distal osteolysis in multiple digits. After ruling out other causes, genetic testing identified a heterozygous NOTCH2 mutation, confirming Hajdu-Cheney syndrome. This case underscores the significance of recognizing specific radiographic and clinical features to avoid misdiagnosis and unnecessary interventions.
Diagnostic / clinical pearl
Clinicians should be aware that Hajdu-Cheney syndrome can present with distal phalangeal osteolysis, which may mimic infectious or rheumatologic conditions.
Why it matters
Recognizing Hajdu-Cheney syndrome can prevent misdiagnosis and unnecessary surgical procedures, leading to better management of affected patients.