DIFFICULTIES OF DIAGNOSIS OF CHRONIC RECURRENT MULTIFOCAL OSTEOMYELITIS
We present our experience in the diagnosis of chronic recurrent multifocal osteomyelitis which is an autoimmune disease of children and young adults. The etiology of recurrent multifocal osteomyelitis remains unclear. The typical clinical picture CRMO is a child or young adult with a history of chronic multifocal bone pain, in which biopsy shows osteomyelitis without the presence of any organism culture. Typical radiographic manifestation - metaphyseal lytic lesion, or its equivalent, which develops progressive sclerosis and hyperostosis over time. With typical lesions such as medial end of the clavicle, bilateral disease, concomitant skin disease (psoriasis, palmar plantar-pustulosis), or inflammatory bowel disease confirm the diagnosis. Diagnosis CRMO requires interaction between pediatric rheumatologist, orthopedic surgeon, radiologist and pathologist. Radiologists have to be familiar with images CRMO because they can offer the first diagnosis, which will help minimize the number of unnecessary interventions, as repeated biopsies, operations, and antibiotic courses.