Stress fracture and osteomyelitis in a patient with systemic lupus erythematosus

Canella, Clarissa; Costa, Fernando José Pereira da; Danowisk, Adriana; Melo, Alessandro Severo Alves de; Marchiori, Edson

doi:10.1590/0100-3984.2017.0035

Cited by 4 publications

(8 citation statements)

References 10 publications

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“…In addition to this, this case report is also unique in that the patient had an associated pathological stress fracture. The combination of myositis, osteomyelitis and an associated stress fracture has not been documented previously [ 19 ]. Whilst it has been noted that pathological stress fractures are a recognized but rare complication of osteomyelitis [ 20 ], its association with myositis is less well documented.…”

Section: Discussionmentioning

confidence: 99%

Myositis, Osteomyelitis and a Parasymphyseal Stress Fracture in a Paediatric Patient

Hind¹,

Gmati²,

Ashwood³

2021

Cureus

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The limping child and painful hip are common presentations in many paediatric emergency units. Typically caused by mild self-limiting events, less commonly, they may be implicated in one of a group of inflammatory myopathies, or myositis. Diagnosis of this condition can be extremely difficult, and is aided by thorough clinical assessment, radiological imaging, and extensive blood serum testing. Myositis with associated osteomyelitis and a pathological fracture is an incredibly rare finding, described in this case report in a seven-year-old child.

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Section: Discussionmentioning

confidence: 99%

Myositis, Osteomyelitis and a Parasymphyseal Stress Fracture in a Paediatric Patient

Hind¹,

Gmati²,

Ashwood³

2021

Cureus

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“…OM is more frequent in SLE patients than in the general population [ 57 , 59 ], moreover occurring at a younger age [ 57 ]. Several studies and case reports described OM in SLE, due to different microorganisms [ 50 , 59 , 61 , 67 , 68 , 69 , 70 ] and affecting mainly bones of the lower limbs, in particular tibia and femur [ 57 , 59 ].…”

Section: Sle and Osteomyelitismentioning

confidence: 99%

“…Different conditions may be associated with higher risk of OM development in SLE, particularly impaired immune system, GCs and immunosuppressive treatment, high disease activity, underlying bone and joint pathology such as bone infarcts or prior bone fracture, old age (>60 years) and pediatric age, male gender, and malignancy [ 59 , 61 , 63 , 67 , 68 , 69 , 70 ].…”

Section: Sle and Osteomyelitismentioning

confidence: 99%

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Bone Involvement in Systemic Lupus Erythematosus

Rella

Rotondo

Altomare

et al. 2022

IJMS

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Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by a wide variability of clinical manifestations due to the potential involvement of several tissues and internal organs, with a relapsing and remitting course. Dysregulation of innate and adaptive immune systems, due to genetic, hormonal and environmental factors, may be responsible for a broad spectrum of clinical manifestations, affecting quality of life, morbidity and mortality. Bone involvement represents one of the most common cause of morbidity and disability in SLE. Particularly, an increased incidence of osteoporosis, avascular necrosis of bone and osteomyelitis has been observed in SLE patients compared to the general population. Moreover, due to the improvement in diagnosis and therapy, the survival of SLE patient has improved, increasing long-term morbidities, including osteoporosis and related fractures. This review aims to highlight bone manifestations in SLE patients, deepening underlying etiopathogenetic mechanisms, diagnostic tools and available treatment.

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“…Recent studies have highlighted the importance of magnetic resonance imaging in the evaluation of diseases affecting the musculoskeletal system (1)(2)(3)(4)(5)(6) . Contrast-enhanced magnetic resonance lymphangiography (MRL) is a recently developed minimally invasive imaging technique for the evaluation of the lymphatic system and its abnormalities.…”

Section: Introductionmentioning

confidence: 99%