Lesson of the month
Chronic recurrent multifocal osteomyelitis is a differential diagnosis of juvenile idiopathic arthritis
L P Robertson, P HicklingDepartment of
Rheumatology, Derriford Hospital, Derriford Road, Plymouth PL6
8DH, Devon, UK
Correspondence to: Dr L P Robertson, Department of Rheumatology, Royal Cornwall Hospital, Truro, Cornwall TR1 3LJ, UK rwmlpr@eurobell.co.uk
Accepted for publication 12 April 2001
| The first 150 words of the full text of this article appear below. |
 |
Case history |
|---|
A 5 year old girl was referred to the paediatric rheumatology
clinic in June 1999 for assessment of possible juvenile idiopathic arthritis (JIA). She had been well until seven months previously, when
she began to limp and developed a swollen left ankle. At this time she
appeared generally unwell and irritable but had no history of fever or
rashes. There was no previous past medical history of note. She lived
with her parents and twin brother, who were all well. A distant
relative was believed to have rheumatoid arthritis. A full blood count
was normal, C reactive protein and blood cultures were negative. A
radiograph of the left ankle showed a lucency at the distal tibia with
associated periosteal reaction (fig 1). A technetium-99m MDP bone scan
showed increased uptake in the lower end of the left tibia (fig 2A) as
well as the body of L5 and the left
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This article has been cited by other articles:
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Duggan, C. P., Westra, S. J., Rosenberg, A. E.
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Kufeji, O, Withana, K, Michaelis, L
(2006). Chronic recurrent multifocal osteomyelitis is a differential of childhood limp. Arch. Dis. Child.
91: 30-30
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