Periostitis has been associated with a variety of diseases, and can occur alone or with clubbing and arthritis. Acute periostitis is due to infection, and is characterized by diffuse suppuration, severe pain, and constitutional symptoms.
An 18-year-old man was referred for evaluation of recent and sharp pain in both inner thighs. Four months previously, he had undergone proctocolectomy with ileal pouch-anal anastomosis …