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Journal of the American Podiatric Medical Association, Vol 84, Issue 12 625-627, Copyright © 1994 by American Podiatric Medical Association

JOURNAL ARTICLE

Acrometastases. Initial presentation as diffuse ankle pain

EE Leonheart and J DiStazio
Podiatry Hospital, Pittsburgh, PA.

Acrometastases are rare and often misdiagnosed or overlooked. When it involves the feet, it generally attacks the larger bones containing the higher amounts of red marrow. The patient may or may not have a known history of cancer, which makes diagnosis much more difficult. The symptomatology is generally vague and can mimic other conditions, such as osteomyelitis, gouty rheumatoid arthritis, Reiter's syndrome, Paget's disease, osteochondral lesions, and ligamentous sprains. Therefore, the physician must consider metastatic disease in the differential diagnosis. Once the diagnosis is made, the prognosis is poor and treatment is limited to pain relief and maintaining function.




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Copyright © 1994 by the American Podiatric Medical Association.