Abstract

SUAREZ ZARRATE, Jessica A et al. Osteomielitis crónica recurrente multifocal: Reporte de tres casos y revisión bibliográfica. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2018, vol.83, n.4, pp.283-290. ISSN 1852-7434.

Chronic recurrent multifocal osteomyelitis is a sterile inflammatory limb disorder. It mainly affects children simulating an infectious osteomyelitis. It may be associated with inflammatory skin and intestinal tract disorders. Acute phase reactant levels are normal or slightly high. X-rays show osteolytic injuries surrounded by sclerosis, which may be normal at the beginning of the disease. A timely diagnosis based on identifying the disease characteristics and ruling out an infectious etiology, allows to indicate the proper treatment. We present three patients with this pathology. A 24-year-old man with persistent and recurrent inflammatory symptoms in the right ankle, that evolved for 8 years. An 11-year-old girl who periodically attends due to pain in hemithorax, right clavicle and left ankle; and a 12-year-old girl with multiple brief episodes of inflammatory symptoms in both ankles. The three cases, without leukocytosis, acute phase reactants slightly increased or negative, with major and minor Jasson's diagnosis criteria for this pathology. These conditions improved with non-steroidal anti-inflammatory drugs. It is important to know this rare condition as a diagnostic possibility, as a timely diagnosis prevents unnecessary use of antibiotics and it may resolve with a simple therapy of non-steroidal anti-inflammatory drugs, without the need of surgical procedures that increase comorbidities.

Keywords : Chronic osteomyelitis; Recurrent; Multifocal; Sterile osteomyelitis; Non-steroidal anti-inflammatory drugs.

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