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OSTEITIS PUBIS

LEONARD J. ALPERIN, M.D.; MARTHA J. BENDER, M.D.
AMA Am J Dis Child. 1954;88(2):227-233. doi:10.1001/archpedi.1954.02050100229011.
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OSTEITIS pubis is a very rare clinical entity in the pediatric age group. Although there are many reports of this disease in the literature, they are confined to adults and occur after operative procedures upon the genitourinary system, usually prostatectomies. The disease is characterized by a self-limiting nonsuppurative osteonecrosis of the pubic bones, usually beginning at the symphysis pubis and extending along the pubic rami in a rather symmetrical fashion, and may extend so as to include the ischial tuberosities. Although the bone destruction may be extensive during the active course of the illness, recovery occurs with complete regeneration of the pubic bones, and often ankylosis of the symphysis results.

The disease was first described in 1924, by Beer, who noted this as a peculiar complication following a simple suprapubic prostatectomy. Since that time, there have been numerous reports of cases occurring several weeks to several months after suprapubic prostatectomies,

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