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Published on: September 22, 2019
Chronic recurrent multifocal osteomyelitis and inflammatory bowel disease
Grace K Audu1, Kornilia Nikaki, Daniel Crespi
1*Department of Paediatric Gastroenterology, Chelsea and Westminster Hospital, London †Department of Paediatric Gastroenterology, Bristol Royal Hospital for Children, Bristol ‡Department of Paediatric Gastroenterology, Royal Free Hospital, London, UK.
Chronic recurrent multifocal osteomyelitis (CRMO) is linked to inflammatory bowel disease (IBD), primarily in children. This study confirms CRMO as a rare extraintestinal complication of IBD, enhancing understanding of the disease course.
Area of Science:
- Pediatric Rheumatology
- Pediatric Gastroenterology
- Inflammatory Diseases
Background:
- Chronic recurrent multifocal osteomyelitis (CRMO) is a rare autoinflammatory bone condition.
- CRMO has been infrequently associated with inflammatory bowel disease (IBD), predominantly in pediatric populations.
- Understanding the link between CRMO and IBD is crucial for comprehensive patient management.
Observation:
- This study details the UK pediatric experience with CRMO and IBD over 10 years.
- Three new cases of CRMO in children with IBD were identified in the UK.
- Global literature review identified 24 previously reported cases, with 15 in children.
Findings:
- The UK data adds to the global evidence supporting a genuine association between CRMO and IBD in children.
- The findings contribute to a better understanding of the clinical course and presentation of CRMO in IBD patients.
- CRMO should be recognized as a potential rare extraintestinal manifestation of IBD.
Implications:
- Clinicians should consider CRMO in the differential diagnosis of bone pain in children with IBD.
- Early recognition and management of CRMO may improve outcomes for pediatric IBD patients.
- Further research into the pathogenesis of CRMO in IBD is warranted.
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