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6/2015 vol. 53
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REVIEW PAPER
Syndromes with chronic non-bacterial osteomyelitis in the spine
Łukasz Kubaszewski
,
 
Piotr Wojdasiewicz
,
 
Marcin Rożek
,
 
Iwona E. Słowińska
,
 
Katarzyna Romanowska-Próchnicka
,
 
Radosław Słowiński
,
 
Łukasz A. Poniatowski
,
 
Robert Gasik
 
 
 
More details
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Submission date: 2015-10-31
 
 
Final revision date: 2015-12-13
 
 
Acceptance date: 2016-01-08
 
 
Online publication date: 2016-02-11
 
 
Publication date: 2016-02-15
 
 
Reumatologia 2015;53(6):328-336
DOI: https://doi.org/10.5114/reum.2015.57639
 
 
Article (PDF)
References (61)
 
KEYWORDS
osteomyelitis
SAPHO syndrome
CRMO
non-bacterial inflammation
 
TOPICS
Other bone diseases
 
ABSTRACT
Chronic non-bacterial osteomyelitis (CNO) has been known for over of 40 years. It is an underrecognized entity due to the low number of described cases and poor propagation awareness of the problem. Chronic non-bacterial osteomyelitis is usually confused with infectious spondylodiscitis or malignant lesions, both primary and metastatic. Failing to consider CNO as one of possible lesions of the spine among an array of differential diagnoses may lead to a prolonged ineffective treatment increasing treatment-related morbidity. In this paper the authors describe these two syndromes, with a possible autoimmune background – chronic recurrent multifocal osteomyelitis (CRMO) and SAPHO syndrome – that include CNO being among the manifestations. The authors present the spinal symptomatology of CNO for both syndromes published so far to help spine clinicians organize the information for better usage in everyday clinical practice.
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Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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