Primary chronic sclerosing osteomyelitis--a case-report.
A case of primary chronic sclerosing osteomyelitis of the fibula in a 14-year-old is described. This rare condition can be difficult to differentiate from a bone tumor. Its pathogenesis is controversial, although the prevalent hypothesis involves chronic osteomyelitis developing after an unrecognized phase of acute infection. The existence of primary chronic sclerosing osteomyelitis as a disease in its own right has been challenged. Recently, primary chronic sclerosing osteomyelitis has been interpreted as a localized or monofocal variant of multifocal recurrent chronic osteitis or of the bone abnormalities associated with seronegative spondyloarthropathies (SAPHO syndrome).
Viejo-Fuertes
Didier
D
Orthopedic Surgery and Musculoskeletal Trauma Center, Catholic Louvain University, Saint-Luc University Hospitals, Brussels, Belgium. dldv@wanadoo.fr
Rossillon
Renaud
R
Mousny
Marilyne
M
Docquier
Pierre-Louis
PL
Lecouvet
Frédéric
F
Rombouts
Jean-Jacques
JJ
D000293:Adolescent; D001706:Biopsy; D002908:Chronic Disease; D005360:Fibula / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging* / Q000473:pathology*; D011859:Radiography; D012598:Sclerosis