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Three cases of inter-sterno-costo-clavicular ossification associated with tonsillar infection

Published online by Cambridge University Press:  29 June 2007

M. Furukawa ,
T. Miwa ,
M. Kamide ,
M. Sakumoto  and
R. Umeda
M. Furukawa*
Affiliation:
Japan
T. Miwa
Affiliation:
Japan
M. Kamide
Affiliation:
Japan
M. Sakumoto
Affiliation:
Japan
R. Umeda
Affiliation:
Japan
*
Mitsuru Furukawa, M.D., Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1, Takara-machi, Kanazawa, 920, Japan.
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Abstract

Three cases of inter-sterno-costo-clavicular ossification (ISCCO) associated with chronic tonsillitis are reported. Two cases had additional symptoms of pustulosis palmaris et plantaris (PPP). All the patients underwent tonsillectomy. The histological changes of the palatine tonsils of case 1 and case 2 were characterized by so-called focal small lacunar ulcers and periarteriolar fibrosis (onion-skin lesion). Some multinucleated giant cells were observed in case 2. Following tonsillectomy, symptoms in the clavicular region and the PPP improved. It is possible to consider that ISCCO is caused by focal tonsillar infection.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 8 , August 1989 , pp. 783 - 786
Copyright
Copyright © JLO (1984) Limited 1989

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