Department of Paediatrics, Children's University Hospital of Basel, Switzerland.
Pediatric Rheumatology, Children's University Hospital of Basel, Switzerland.
J Hand Surg Asian Pac Vol. 2022 Aug;27(4):751-754. doi: 10.1142/S2424835522720407. Epub 2022 Aug 11.
We present a 9-year-old girl with persistent pain and swelling of the left wrist. X-ray, magnetic resonance imaging (MRI) and bone biopsy led to the diagnosis of chronic recurrent multifocal osteomyelitis (CRMO), affecting phalangeal and metacarpal bases and distal carpal bones on the ulnar side of the wrist. She was treated with non-steroidal anti-inflammatory drugs and complete remission with no long-term sequelae was achieved. CRMO is a rare auto-inflammatory condition with infrequent involvement of the hand. The current literature is discussed. The aim of this report is to raise awareness of the condition to reduce the time to diagnosis and unnecessary antibiotic treatment and to prevent permanent disability due to the progression of the disease. Level V (Therapeutic).
我们报告了一例 9 岁女孩，其左手腕持续疼痛和肿胀。X 射线、磁共振成像（MRI）和骨活检导致慢性复发性多灶性骨髓炎（CRMO）的诊断，影响腕关节尺侧的掌骨和掌骨基底以及远侧腕骨。她接受了非甾体抗炎药治疗，完全缓解，无长期后遗症。CRMO 是一种罕见的自身炎症性疾病，手部受累不常见。目前讨论了文献。本报告的目的是提高对该病的认识，以减少诊断时间和不必要的抗生素治疗，并防止因疾病进展导致永久性残疾。 等级 V（治疗）。
