Juvenile Blount's Disease Revealed By Recurrent Knee Oligoarthritis: A Case Report

Maladie de Blount Révélée par une Oligoarthrite Récurrente des Genoux : À Propos d’un Cas

Authors

  • Bayala Yannick Laurent Tchenadoyo Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso
  • Ayouba Tinni Ismael Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso
  • Dabire Marguerite Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso
  • Son Bakoubassé Aïssata Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso
  • Ouedraogo Issa Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso
  • Yameogo Wendyam Nadège Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso
  • Kabore Fulgence Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso
  • Zabsonre/Tiendrebeogo Wendlassida Joëlle Stéphanie Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso
  • Ouedraogo Dieu-Donné Rheumatology Department, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso

DOI:

https://doi.org/10.5281/hra.v2i8.5955

Keywords:

oligoarthritis, Blount, knee, Burkina Faso

Abstract

ABSTRACT
Blount's disease is rarely diagnosed, and it is unusual for it to present with inflammatory knees. We describe a case discovered during recurrent oligoarthritis of the knees. The patient was a 12-year-old boy who was obese, with persistent recurrent oligoarthritis of the knees for six months and obesity, indicated by a BMI of 35 kg/m² for his age. Peripheral joint involvement was noted, characterized by pain and swelling in two joints, particularly the knees. C-reactive protein (CRP) was elevated at 38 mg/dL. Knee radiographs revealed dense, heterogeneous proximal internal metaphyseal beaks and curvature of the underlying tibial bones. Based on the clinical presentation and radiographic findings, a diagnosis of juvenile Blount's disease type I was made. The patient underwent nutritional management aimed at weight loss and was treated with ibuprofen. This case highlights the importance of considering Blount's disease in patients presenting with recurrent knee issues.
RÉSUMÉ
La maladie de Blount est rarement diagnostiquée, et il est inhabituel qu’elle se présente avec des genoux inflammatoires. Nous décrivons un cas découvert au cours d'une oligoarthrite récurrente des genoux. Il s'agissait d'un garçon de 12 ans, obèse, avec une oligoarthrite récurrente des genoux persistant depuis six mois et une obésité avec un IMC de 35 kg/m² pour son âge. Un syndrome articulaire périphérique a été noté, caractérisé par deux articulations douloureuses et enflées, en particulier les genoux. La protéine C-réactive (CRP) était élevée à 38 mg/dL. Les radiographies des genoux ont révélé des becs métaphysaires proximaux internes denses et hétérogènes ainsi qu'une courbure des os tibiaux sous-jacents. Sur la base de la présentation clinique et des constatations radiographiques, un diagnostic de maladie de Blount juvénile de type I a été posé. Le patient a bénéficié d'une prise en charge nutritionnelle visant une perte de poids, ainsi que d'ibuprofène. Ce cas illustre l'importance de considérer la maladie de Blount chez les patients présentant des problèmes récurrents aux genoux.

References

Sabharwal S. Blount disease: an update. Orthop Clin North Am. janv 2015;46(1):37‑47.

Bradway JK, Klassen RA, Peterson HA. Blount disease: a review of the English literature. J Pediatr Orthop. 1987;7(4):472‑80.

Tekou H, Akakpo-Numado GK, Gnassingbe K, Foly A. L’osteochondrose deformante tibiale ou maladie d’ehrlacher-blount. A propos de 19 cas. J Rech Sci 2006 ;8(1).

Janoyer M. Blount disease. Orthop Traumatol Surg Res OTSR. 2019;105(1S):S111‑21.

S DMTS, Taqi M, De Leucio A. Blount Disease. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. 5(6)09-23

Schino MD, Fm G, Jm L, Y M. Blount’s disease. a case in a melanesian child. 2020(1)33906

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Published

25-07-2024

How to Cite

Bayala Yannick Laurent Tchenadoyo, Ayouba Tinni Ismael, Dabire Marguerite, Son Bakoubassé Aïssata, Ouedraogo Issa, Yameogo Wendyam Nadège, Kabore Fulgence, Zabsonre/Tiendrebeogo Wendlassida Joëlle Stéphanie, & Ouedraogo Dieu-Donné. (2024). Juvenile Blount’s Disease Revealed By Recurrent Knee Oligoarthritis: A Case Report: Maladie de Blount Révélée par une Oligoarthrite Récurrente des Genoux : À Propos d’un Cas . HEALTH RESEARCH IN AFRICA, 2(8). https://doi.org/10.5281/hra.v2i8.5955

Issue

Vol. 2 No. 8 (2024): Health Research in Africa

Section

Case Reports

License

Copyright (c) 2024 Bayala Yannick Laurent Tchenadoyo, Ayouba Tinni Ismael, Dabire Marguerite, Son Bakoubassé Aïssata, Ouedraogo Issa, Yameogo Wendyam Nadège, Kabore Fulgence, Zabsonre/Tiendrebeogo Wendlassida Joëlle Stéphanie, Ouedraogo Dieu-Donné

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