Published in:
Open Access 01-12-2015 | Case Report
Unusual onset of a case of chronic recurrent multifocal osteomyelitis
Published in: Pediatric Rheumatology | Issue 1/2015
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Background
Chronic recurrent multifocal osteomyelitis (CRMO) is a rare condition that commonly affects the clavicle and pelvis.
Case presentation
We report here a case a 12 years old girl with CRMO arising with recurrent episodes of left supraorbital headache, followed by the appearance of a periorbital dyschromia. Magnetic resonance imaging (MRI) of the skull and orbits revealed an important subacute inflammatory process. Few months after, the child presented a painful swelling of the left clavicle; the histological examination of the related biopsy allowed to establish the diagnosis of CRMO.
Conclusion
CRMO presenting as acute headache involving neurocranium is rare; to our knowledge this is the first recognized case in the world literature.
This pathological condition is frequently misdiagnosed as infection or neoplasm and needs a deep investigation for the differential diagnosis. The physical, laboratoristic and instrumental diagnostic investigations of the patient and the treatment employed are described in detail.