Juvenile spondyloarthritis and chronic recurrent multifocal osteomyelitis overlap syndrome in a 16-year-old adolescent. A case report and literature review

• Main Authors: Michał Znajdek, Agnieszka Gazda, Piotr Gietka, Marta Wysmołek, Iwona Sudoł-Szopińska
• Format: Article
• Language: English
• Published: Medical Communications Sp. z o.o. 2019-06-01
• Series: Journal of Ultrasonography
• Subjects: juvenile spondyloarthropathies; crmo; ultrasound; magnetic resonance imaging; radiographs
• Online Access: http://www.jultrason.pl/index.php/issues/volume-19-no-77/juvenile-spondyloarthritis-and-chronic-recurrent-multifocal-osteomyelitis-overlap-syndrome-in-a-16-year-old-adolescent-a-case-report-and-literature-review?aid=721

The authors present a very rare case of juvenile spondyloarthritis and chronic recurrent multifocal osteomyelitis overlap syndrome in a 16-year-old girl and discuss diagnostic difficulties associated with this case. Juvenile spondyloarthropathies are a type of rheumatic diseases characterized by non-symmetrical peripheral arthritis and enthesitis as well as by spondylitis. Chronic recurrent multifocal osteomyelitis is a rare, possibly autoimmune disease found primarily in children and adolescents. The disease is characterized by bone marrow inflammation and the presence of lytic and sclerotic lesions. Diagnostic imaging plays a key role in the identification of both diseases. The primary modality is X-ray; however, currently, magnetic resonance imaging and ultrasound are increasingly important. A correct early diagnosis allows one to start appropriate treatment to reduce the consequences of these diseases.