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Evolution of chronic recurrent multifocal osteomyelitis in a child shown by MRI
Chronic recurrent multifocal osteomyelitis (CRMO) is a rare idiopathic inflammatory disease that mainly affects children and young adults. The clinical signs and symptoms are nonspecific, hindering and delaying the proper diagnosis. We report a case of CRMO in a child with chronic pain in the cervic...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197567/ https://www.ncbi.nlm.nih.gov/pubmed/30364530 http://dx.doi.org/10.1016/j.radcr.2018.09.015 |
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author | Gonçalves, Brynna Pamplona Augusto Lima, Michelle Gurgel Nogueira, Cleto Dantas Alcantara, Antonia Celia De Castro Silveira, Claudio Regis Sampaio |
author_facet | Gonçalves, Brynna Pamplona Augusto Lima, Michelle Gurgel Nogueira, Cleto Dantas Alcantara, Antonia Celia De Castro Silveira, Claudio Regis Sampaio |
author_sort | Gonçalves, Brynna Pamplona Augusto |
collection | PubMed |
description | Chronic recurrent multifocal osteomyelitis (CRMO) is a rare idiopathic inflammatory disease that mainly affects children and young adults. The clinical signs and symptoms are nonspecific, hindering and delaying the proper diagnosis. We report a case of CRMO in a child with chronic pain in the cervical and thoracic spine. Investigations of the pain revealed a diagnosis of osteomyelitis in the biopsy, indicating a course of antibiotic treatment. After a year, there was progressive worsening of the pain, and it soon spread to the left wrist and right ankle. Magnetic resonance imaging of the left wrist and right ankle revealed morphostructural changes. A new biopsy was performed on the wrist and ankle, and osteomyelitis was pinpointed again. In view of the clinical, radiological, and histopathological findings, the patient was diagnosed with CRMO. The following treatment consisted of nonsteroidal anti-inflammatory drugs, methotrexate, and pamidronate. The strength of this case is the fact that there was extensive imaging and more than one biopsy, and the patient was followed. Magnetic resonance imaging was valuable in assessing the extent and activity of a lesion. |
format | Online Article Text |
id | pubmed-6197567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-61975672018-10-24 Evolution of chronic recurrent multifocal osteomyelitis in a child shown by MRI Gonçalves, Brynna Pamplona Augusto Lima, Michelle Gurgel Nogueira, Cleto Dantas Alcantara, Antonia Celia De Castro Silveira, Claudio Regis Sampaio Radiol Case Rep Musculoskeletal Chronic recurrent multifocal osteomyelitis (CRMO) is a rare idiopathic inflammatory disease that mainly affects children and young adults. The clinical signs and symptoms are nonspecific, hindering and delaying the proper diagnosis. We report a case of CRMO in a child with chronic pain in the cervical and thoracic spine. Investigations of the pain revealed a diagnosis of osteomyelitis in the biopsy, indicating a course of antibiotic treatment. After a year, there was progressive worsening of the pain, and it soon spread to the left wrist and right ankle. Magnetic resonance imaging of the left wrist and right ankle revealed morphostructural changes. A new biopsy was performed on the wrist and ankle, and osteomyelitis was pinpointed again. In view of the clinical, radiological, and histopathological findings, the patient was diagnosed with CRMO. The following treatment consisted of nonsteroidal anti-inflammatory drugs, methotrexate, and pamidronate. The strength of this case is the fact that there was extensive imaging and more than one biopsy, and the patient was followed. Magnetic resonance imaging was valuable in assessing the extent and activity of a lesion. Elsevier 2018-10-17 /pmc/articles/PMC6197567/ /pubmed/30364530 http://dx.doi.org/10.1016/j.radcr.2018.09.015 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Musculoskeletal Gonçalves, Brynna Pamplona Augusto Lima, Michelle Gurgel Nogueira, Cleto Dantas Alcantara, Antonia Celia De Castro Silveira, Claudio Regis Sampaio Evolution of chronic recurrent multifocal osteomyelitis in a child shown by MRI |
title | Evolution of chronic recurrent multifocal osteomyelitis in a child shown by MRI |
title_full | Evolution of chronic recurrent multifocal osteomyelitis in a child shown by MRI |
title_fullStr | Evolution of chronic recurrent multifocal osteomyelitis in a child shown by MRI |
title_full_unstemmed | Evolution of chronic recurrent multifocal osteomyelitis in a child shown by MRI |
title_short | Evolution of chronic recurrent multifocal osteomyelitis in a child shown by MRI |
title_sort | evolution of chronic recurrent multifocal osteomyelitis in a child shown by mri |
topic | Musculoskeletal |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197567/ https://www.ncbi.nlm.nih.gov/pubmed/30364530 http://dx.doi.org/10.1016/j.radcr.2018.09.015 |
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