1. Chronic Recurrent Multifocal Osteomyelitis Demonstrated by Tc-99m Methylene Diphosphonate Bone Scan
- Author
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Lise Hobolth, Michel Nemery, Philip Hasbak, and Jens Albrectsen
- Subjects
medicine.medical_specialty ,Abdominal pain ,Percutaneous ,Biopsy ,Technetium Tc 99m Medronate ,law.invention ,Diagnosis, Differential ,Intramedullary rod ,Recurrence ,law ,Humans ,Medicine ,Tc-99m Methylene Diphosphonate ,Whole Body Imaging ,Radiology, Nuclear Medicine and imaging ,Child ,Radionuclide Imaging ,medicine.diagnostic_test ,business.industry ,Crohn disease ,Chronic recurrent multifocal osteomyelitis ,Osteomyelitis ,Magnetic resonance imaging ,General Medicine ,medicine.disease ,Magnetic Resonance Imaging ,Chronic Disease ,Female ,Radiology ,Radiopharmaceuticals ,medicine.symptom ,business - Abstract
A 12-year-old Middle Eastern girl presented with abdominal pain, weight loss, and intermittent pain in both thighs. She was initially suspected of Crohn disease, but this diagnosis was excluded after extensive gastromedical evaluation. Plain x-rays of the femora were normal, whereas the initial Tc-99m methylene diphosphonate (MDP) bone scan showed several foci with increased activity in both femurs. MR scan showed excessive periostal inflammatory and mild intramedullary changes in both femurs. A percutaneous bone biopsy demonstrated changes consistent with chronic recurrent multifocal osteomyelitis (CRMO). The patient's symptoms disappeared spontaneously, but reappeared 1.5 years later, which led to a new MDP bone scan that showed normal findings.
- Published
- 2008