4 Interesting Facts of Idiopathic juvenile osteoporosis Mechanism unknown for this transient osteoporosis; typically lasts 3 to 5 years, with onset before puberty History of frequent fractures and bone pain Classically presents with pain in lower back, hips, feet, knee, and ankle; often accompanied by difficulty walking and limp Metaphyseal fractures and vertebral fractures are …
4 Interesting Facts of Postmenopausal osteoporosis Systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, resulting in increased bone fragility, which can lead to fractures In hip and other weight-bearing joints, the presence of osteoporosis can look similar to early-stage osteonecrosis on imaging Often symptomless until fracture occurs, in contrast …
4 Interesting Facts of Herpes zoster oticus (Ramsay Hunt syndrome) Caused by reactivation of varicella-zoster virus in the cutaneous distribution of the auricle and external auditory meatus; can result in facial and vestibulocochlear neuropathy Presents similarly to otitis externa with severe otalgia; additional findings include a vesicular rash in the external ear canal, loss of …
4 Interesting Facts of Cholesteatoma Abnormal nonmalignant tumor that develops as a result of migration of keratinized hyperproliferative squamous epithelium into the middle ear space; acquired cholesteatoma is a complication of repeated bouts of otitis media or chronic otitis media; congenital cases are rare Presents with malodorous otorrhea, ear discomfort, hearing loss, mass in the …
4 Interesting Facts of Foreign body in the ear A subtle foreign body in the external auditory canal can mimic otitis externa; a retained foreign body can cause otitis externa Can present similarly to otitis externa with ear discomfort and otorrhea; otorrhea tends to be purulent and foul smelling, often improves with antibiotic treatment and …
Allergic or contact dermatitis involving the external auditory canal Many substances can cause a local reaction that mimics otitis externa with ear discomfort, external auditory canal discharge, canal erythema and edema (eg, neomycin, benzocaine, propylene glycol otic preparation preservative, shampoos, detergents, hair sprays, hearing aid molds) The aminoglycoside neomycin carries a high risk of allergic sensitization; …
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Dermatoses involving the external auditory canal Various dermatologic conditions (eg, atopic dermatitis/eczema, seborrheic dermatitis, contact dermatitis) involving the ear canal can mimic otitis externa and present with ear discomfort, discharge from the ear canal, external auditory canal erythema, and edema Dermatologic conditions that affect the integrity of the skin barrier in the auditory canal can …
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