Chronic Recurrent Multifocal Osteomyelitis

Article


Ferrari, J. and Pilkington, Clarissa 2014. Chronic Recurrent Multifocal Osteomyelitis. Journal of the American Podiatric Medical Association. 104 (6), pp. 583-587.
AuthorsFerrari, J. and Pilkington, Clarissa
Abstract

BACKGROUND:

Chronic recurrent multifocal osteomyelitis (CRMO) is an autoinflammatory condition. The lesions are reported to present most frequently in the long bones. This study aimed to review the presenting features of CRMO in a cohort of children diagnosed as having CRMO and to compare the level of agreement between the clinical and published diagnostic criteria.
METHODS:

A case notes review was undertaken of patients with a clinical diagnosis of CRMO. Patients were younger than 16 years at the time of diagnosis. Features were identified in each patient that agreed or disagreed with the published diagnostic criteria. The location of bone lesions in the lower limb at onset and disease progression was recorded.
RESULTS:

A total of 37 patients were included. There was a high prevalence in white individuals. Agreement with the diagnostic criteria of Jansson et al and El-Shanti and Ferguson was poor, with levels of agreement of 40.5% and 43%, respectively, and low kappa scores (κ = 0.07 and 0.09, respectively). The lower limb was affected in 49% of patients at onset and in 72% overall.
CONCLUSIONS:

This study presents one of the largest published cohorts of pediatric patients with CRMO and also presents racial/ethnic group data that have not previously been reported in other studies. Despite being a condition considered to affect the metaphysis of long bones, the ankle area and foot bones were also frequently affected. The agreement between the clinical diagnosis and the published diagnostic criteria was weak.

JournalJournal of the American Podiatric Medical Association
Journal citation104 (6), pp. 583-587
ISSN8750-7315
Year2014
PublisherAmerican Podiatric Medical Association
Digital Object Identifier (DOI)doi:10.7547/8750-7315-104.6.583
Web address (URL)https://doi.org/10.7547/8750-7315-104.6.583
Publication dates
PrintNov 2014
Publication process dates
Deposited22 Jan 2018
Copyright information©2014 by the American Podiatric Medical Association
Permalink -

https://repository.uel.ac.uk/item/8587y

  • 8
    total views
  • 0
    total downloads
  • 3
    views this month
  • 0
    downloads this month

Related outputs

Rheumatic diseases of childhood and adolescence
Murray, Kevin and Ferrari, J. 2001. Rheumatic diseases of childhood and adolescence. in: Thomson, Peter and Volpe, Russell G. (ed.) Introduction to Podopediatrics Edinburgh Churchill Livingstone. pp. 105-119
The Shape of the Metatarsal Head as a Cause of Hallux Abductovalgus
Ferrari, J. and Malone-Lee, James 2002. The Shape of the Metatarsal Head as a Cause of Hallux Abductovalgus. Foot & Ankle International. 23 (3), pp. 236-242.
A radiographic study of the relationship between metatarsus adductus and hallux valgus
Ferrari, J. and Malone-Lee, James 2003. A radiographic study of the relationship between metatarsus adductus and hallux valgus. The Journal of Foot and Ankle Surgery. 42 (1), pp. 9-14.
Joint hypermobility: The use of a new assessment tool to measure lower limb hypermobility
Ferrari, J., Parslow, Charlotte, Lim, Emma J and Hayward, Andrew 2005. Joint hypermobility: The use of a new assessment tool to measure lower limb hypermobility. Clinical and Experimental Rheumatology. 23 (3), pp. 413-420.
Foot Pressure Measurement Differences Between Boys and Girls With Reference to Hallux Valgus Deformity and Hypermobility
Ferrari, J. and Watkinson, David 2005. Foot Pressure Measurement Differences Between Boys and Girls With Reference to Hallux Valgus Deformity and Hypermobility. Foot & Ankle International. 26 (9), pp. 739-747.
Critical review: The assessment and conservative treatment of hallux valgus deformity in healthy adults
Ferrari, J. 2006. Critical review: The assessment and conservative treatment of hallux valgus deformity in healthy adults. British Journal of Podiatry. 9 (4), pp. 104-108.
Bunions
Ferrari, J. 2009. Bunions. BMJ Clinical Evidence. 1112.
Interventions for treating hallux valgus (abductovalgus) and bunions
Ferrari, J., Higgins, Julian PT and Prior, Trevor D 2009. Interventions for treating hallux valgus (abductovalgus) and bunions. The Cochrane Library.
Are spatiotemporal gait characteristics reliable outcome measures in children with developmental coordination disorder?
Morrison, Stewart C., Ferrari, J. and Smillie, Sally 2012. Are spatiotemporal gait characteristics reliable outcome measures in children with developmental coordination disorder? Pediatric Physical Therapy. 24 (1), pp. 46-50.
The role of the podiatrist
Ferrari, J. 2012. The role of the podiatrist. in: Brogan, Paul A and Forster, Helen E (ed.) Paediatric Rheumatology Oxford Oxford University Press. pp. 385-386
Assessment of gait characteristics and orthotic management in children with Developmental Coordination Disorder: Preliminary findings to inform multidisciplinary care
Morrison, Stewart C., Ferrari, J. and Smillie, Sally 2013. Assessment of gait characteristics and orthotic management in children with Developmental Coordination Disorder: Preliminary findings to inform multidisciplinary care. Research in Developmental Disabilities. 34 (10), pp. 3197-3201.
Foot care and intellectual disability
Evans, Angela, Menz, Hylton, Bourke, Jared, Nikopoulos, Nikolaos, Ferrari, J., Wilkinson, Meredith, Morrison, Stewart, Burns, Joshua, Munteanu, Shannon, Dobie, Valerie and Walsh, Tom 2014. Foot care and intellectual disability. in: Merrick, Joav, Greydanus, Donald E and Patel, Dilip R. (ed.) Intellectual Disability: Some Current Issues New York Nova Science Publishers. pp. 121-148
Fungal toenail infections
Ferrari, J. 2014. Fungal toenail infections. BMJ Clinical Evidence. 1715.
Podopaediatrics
Phethean, Jill, Ferrari, J. and Morrison, Stuart.C 2017. Podopaediatrics. in: Hayes, Catherine and Barbaro-Brown, Judith (ed.) Textbook of Podiatric Medicine London M&K Update Ltd. pp. 481-498
Patient perceptions of foot disability in Juvenile Idiopathic Arthritis: a comparison of the juvenile arthritis foot disability index and the Oxford ankle foot questionnaire for children
Ferrari, J. 2015. Patient perceptions of foot disability in Juvenile Idiopathic Arthritis: a comparison of the juvenile arthritis foot disability index and the Oxford ankle foot questionnaire for children. Journal of Foot and Ankle Research. 8 (50).
Relationship Between Proximal Articular Set Angle and Hallux Abducto Valgus
Ferrari, J. and Malone-Lee, James 2002. Relationship Between Proximal Articular Set Angle and Hallux Abducto Valgus. Journal of the American Podiatric Medical Association. 92 (6), pp. 331-335.
Size and Shape Differences Between Male and Female Foot Bones
Ferrari, J., Hopkinson, David A. and Linney, Alf D. 2004. Size and Shape Differences Between Male and Female Foot Bones. Journal of the American Podiatric Medical Association. 96 (5), pp. 434-452.
Inter-rater reliability of the Foot Posture Index (FPI-6) in the assessment of the paediatric foot
Morrison, Stewart C. and Ferrari, J. 2009. Inter-rater reliability of the Foot Posture Index (FPI-6) in the assessment of the paediatric foot. Journal of Foot and Ankle Research. 21 (2).