Bilateral lower leg pain in a runner(2)

James H. Cowan III, M.D.
20 y.o. track athlete with several weeks of bilateral lower leg pain. Lower leg radiographs appeared normal.

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Question Text 

Given the clinical scenario the most likely etiology causing this
appearance is:
 

Answers
 Answer: Chronic venous insufficency causing periosteal reaction 
Correct Answer? 
No
Answers
 Answer: Lung cancer with resultant hypertrophic osteoarthropathy. 
Correct Answer? 
No
Answers
 Answer: Periostitis secondary to periosteal stress at sites of muscle attachment 
Correct Answer? 
Yes
Answers
 Answer: Chronic glomerulonephritis with secondary hyperparathyroidism 
Correct Answer? 
No
 
Case Study Link: Bilateral lower leg pain in a runner   

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