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Kohlerâs disease is a rare condition in which the tarsal navicular bone (a bone in the arch of the foot) becomes inflamed. This bone disease is named after the German radiologist who described the condition in the early twentieth century. Kohlerâs disease usually affects children between the ages of three and five. It occurs more commonly in boys than in girls, and is often unilateral, affecting one foot. It is described as an avascular necrosis, or osteonecrosis, in which bone tissue deteriorates due to an interruption of blood supply.
The authors suggest that the development of the condition in identical twins may imply that there is an unknown genetic predilection for the disease. Kohlerâs Disease Symptoms To Be Aware Of. Symptoms of Kohlerâs disease are usually mild and may include: Swelling; Pain and tenderness; Limping; The pain may be intermittent and may worsen after activity.