Chronic recurrent multifocal osteomyelitis: diagnosis and treatment

Curr Opin Pediatr. 2021 Feb 1;33(1):90-96. doi: 10.1097/MOP.0000000000000970.

Abstract

Purpose of review: The aim of this article is to review recent findings regarding the diagnosis and treatment of chronic recurrent multifocal osteomyelitis (CRMO).

Recent findings: An adequate understanding of pathophysiology along with the new advances in MRI imaging make it possible to determine the extent of disease and establish early treatment. TNF-α inhibitors and bisphosphonates have shown to be a well-tolerated and efficient treatment for CRMO providing both symptomatic relief and normalization of bone morphology.

Summary: The results of recent studies suggest that a better knowledge of the genetic and molecular factors will allow early diagnosis and the development of more effective individualized treatments in the future.

Publication types

  • Review

MeSH terms

  • Chronic Disease
  • Diphosphonates
  • Humans
  • Magnetic Resonance Imaging
  • Osteomyelitis* / diagnostic imaging
  • Osteomyelitis* / therapy
  • Recurrence
  • Tumor Necrosis Factor Inhibitors

Substances

  • Diphosphonates
  • Tumor Necrosis Factor Inhibitors

Supplementary concepts

  • Chronic recurrent multifocal osteomyelitis