Malek, Abdolreza, Aelami, Mohammadhassan, Afzali, Narges, Parsa, Ali, Jalalinia, Havva. (1396). Chronic Recurrent Multifocal Osteomyelitis in a 9-year-old Boy. , 5(3), 196-200. doi: 10.22038/abjs.2017.8385
Abdolreza Malek; Mohammadhassan Aelami; Narges Afzali; Ali Parsa; Havva Jalalinia. "Chronic Recurrent Multifocal Osteomyelitis in a 9-year-old Boy". , 5, 3, 1396, 196-200. doi: 10.22038/abjs.2017.8385
Malek, Abdolreza, Aelami, Mohammadhassan, Afzali, Narges, Parsa, Ali, Jalalinia, Havva. (1396). 'Chronic Recurrent Multifocal Osteomyelitis in a 9-year-old Boy', , 5(3), pp. 196-200. doi: 10.22038/abjs.2017.8385
Malek, Abdolreza, Aelami, Mohammadhassan, Afzali, Narges, Parsa, Ali, Jalalinia, Havva. Chronic Recurrent Multifocal Osteomyelitis in a 9-year-old Boy. , 1396; 5(3): 196-200. doi: 10.22038/abjs.2017.8385

Chronic Recurrent Multifocal Osteomyelitis in a 9-year-old Boy

The Archives of Bone and Joint Surgery
مقاله 12، دوره 5، شماره 3، 2017، صفحه 196-200    اصل مقاله (740.27 K)
نوع مقاله: CASE REPORT
شناسه دیجیتال (DOI): 10.22038/abjs.2017.8385
نویسندگان
Abdolreza Malek1؛ Mohammadhassan Aelami2؛ Narges Afzali3؛ Ali Parsa4؛ Havva Jalalinia* 5
1Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2Department of Pediatrics and Infection Control and Hand Hygiene Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3Department of Radiology, Mashhad branch, Islamic Azad University, Mashhad, Iran
4Department of Orthopedics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
 
Chronic recurrent multifocal osteomyelitis (CRMO) is a rare aseptic, auto-inflammatory bone disorder. CRMO presents with bone pain with or without fever. The diagnosis of CRMO is a diagnosis of exclusion and should be included in the differential diagnosis of chronic inflammatory bone lesions in children. Cultures of the bone are typically sterile, antibiotic therapy does not result in clinical improvement whereas anti-inflammatory drugs improve the condition. Furthermore, biopsy should be considered in chronic and relapsing bone pain and swelling unresponsive to treatment. Herein, we present a nine-year-old boy complaining of recurrent pain in his upper and lower extremities. On examination he had mild fever and cervical lymphadenopathy. He also had experienced bone pain and weight loss in the recent month. Based on biopsy and bone scan he was finally diagnosed with CRMO. Naproxen and Pamidronate was prescribed and he was getting better and returned to normal life and activity without need to corticosteroids.
کلیدواژه‌ها
Bone pain؛ Children؛ Chronic multifocal osteomyelitis (CRMO)
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