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  • Title: Periostitis and pseudoperiostitis.
    Author: Forrester DM, Kirkpatrick J.
    Journal: Radiology; 1976 Mar; 118(3):597-601. PubMed ID: 1251008.
    Abstract:
    Increased metabolic activity with the periosteum is demonstrated radiographically by the presence of a linear shadow of bone paralleling the cortex, most commonly reflecting increased osteoblastic activity and thus representing periosteal new bone. This is frequently seen in psoriatic arthritis and Reiter's syndrome. A similar picture occurs with increased osteoclastic activity and reflects rapid demineralization, simulating periostitis. This change must be recognized as a reflection of osteoporosis, lest the condition be misdiagnosed as inflammatory disease.
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