Queiroz Rodolfo Mendes, Rocha Pedro Henrique Pereira, Lauar Lara Zupelli, Costa Mauro José Brandão da, Laguna Claudio Benedini, Oliveira Rafael Gouvêa Gomes de
Department of Radiology and Imaging Diagnosis, Documenta, Hospital São Francisco, Ribeirão Preto, SP, Brazil.
Division of Radiology and Imaging Diagnosis, Department of Internal Medicine, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Rev Assoc Med Bras (1992). 2017 Apr;63(4):303-306. doi: 10.1590/1806-9282.63.04.303.
Chronic recurrent multifocal osteomyelitis is an idiopathic nonpyogenic autoinflammatory bone disorder involving multiple sites, with clinical progression persisting for more than 6 months and which may have episodes of remission and exacerbation in the long term. It represents up to 2-5% of the cases of osteomyelitis, with an approximate incidence of up to 4/1,000,000 individuals, and average age of disease onset estimated between 8-11 years, predominantly in females. The legs are the most affected, with a predilection for metaphyseal regions along the growth plate. We describe the case of a female patient, aged 2 years and 5 months, with involvement of the left ulna, right jaw and left tibia, showing a predominance of periosteal reaction as main finding.
慢性复发性多灶性骨髓炎是一种特发性非化脓性自身炎症性骨病，累及多个部位，临床病程持续超过6个月，长期可能有缓解和加重期。它占骨髓炎病例的2%-5%，发病率约为每100万人中4例，疾病发病的平均年龄估计在8-11岁之间，女性居多。腿部受累最为常见，好发于沿生长板的干骺端区域。我们描述了一名2岁5个月女性患者的病例，其左尺骨、右颌骨和左胫骨受累，主要表现为骨膜反应为主。
