Welcome to the 2007 AAP Show Daily
October 23rd 2007Welcome to the October 2007 Contemporary Pediatrics Show Daily. Over the next four days, the editors of Contemporary Pediatrics will bring you conference coverage from the floor of the 2007 American Academy of Pediatrics (AAP) National Conference Exhibition.
Chronic Recurrent Multifocal Osteomyelitis: REFERENCES:
October 1st 2007ABSTRACT: Chronic recurrent multifocal osteomyelitis (CRMO) is an inflammatory bone disease that occurs primarily in childhood. The clinical picture often is confused with bacterial osteomyelitis. Awareness of CRMO as a clinical entity helps avoid diagnosis and treatment delays. Our patient, an 8-year-old girl, presented with acute left hip pain. One month after presentation, a lytic lesion was seen on plain radiographs; biopsy revealed nonspecific inflammation. It was not until more than 2 years later, when multifocal bone lesions and psoriasis developed, that the diagnosis became clear. Our patient's case demonstrates several key points: not all children with CRMO present with multifocal disease, patients frequently have comorbid inflammatory conditions, and there are no diagnostic laboratory studies. The optimal treatments remain unknown.