2024-03-28T11:04:38Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00020863
2023-11-16T05:23:14Z
499:508:509:1787
Skull involvement in a pediatric case of chronic recurrent multifocal osteomyelitis
Watanabe, Toru
Ono, Hiroyuki
Morimoto, Yoshitaka
Otsuki, Yoshiro
Shirai, Masami
Endoh, Akira
Naito, Masaaki
Inoue, Yoshiya
Hongo, Teruaki
open access
auto inflammatory diseases
bone pain
chronic nonbacterial osteomyelitis
non-steroidal anti-inflammatory drugs
skull
An 11-year-old boy was diagnosed with chronic recurrent multifocal osteomyelitis (CRMO) and presented with right sacro-femoral and occipital lesions. Initially, a tumor was suspected. However, the bone biopsy showed osteomyelitis with a negative bacterial culture. Bone scintigraphy revealed inflammatory changes on multiple bone lesions. The slight elevation in inflammatory markers such as C-reactive protein was of little clinical value. He was diagnosed with CRMO by sacral biopsy, and the clinical course progressed, with the presence of a new occipital lesion observed after the 1-year follow-up. The administration of non-steroidal anti-inflammatory drugs successfully improved his clinical symptoms. The presence of a skull lesion in the occipital bone of a pediatric patient with CRMO has not been previously reported.
Nagoya University Graduate School of Medicine, School of Medicine
2015-08
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.77.3.493
http://hdl.handle.net/2237/22993
https://nagoya.repo.nii.ac.jp/records/20863
10.18999/nagjms.77.3.493
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/773.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
77
3
493
500
https://nagoya.repo.nii.ac.jp/record/20863/files/32_Watanabe.pdf
application/pdf
625.5 kB
2018-02-21