Unusual Manifestation of Ulcerative Colitis

The relationship of inflammatory bowel disease (IBD) and chronic recurrent multifocal osteomyelitis (CRMO) is understood as extraintestinal rheumatic manifestations. CRMO is a chronic, relapsing, inflammatory, noninfectious disorder of the skeletal system of unknown origin. The disease course is not...

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Main Authors: Amna Basheer M. Ahmed, Badr M. Rasheed Alsaleem
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2019/5163213
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author Amna Basheer M. Ahmed
Badr M. Rasheed Alsaleem
author_facet Amna Basheer M. Ahmed
Badr M. Rasheed Alsaleem
author_sort Amna Basheer M. Ahmed
collection DOAJ
description The relationship of inflammatory bowel disease (IBD) and chronic recurrent multifocal osteomyelitis (CRMO) is understood as extraintestinal rheumatic manifestations. CRMO is a chronic, relapsing, inflammatory, noninfectious disorder of the skeletal system of unknown origin. The disease course is not always recurrent. The association of CRMO and ulcerative colitis (UC) is very rarely reported. We report a case of a 10-year-old Saudi female who was diagnosed with CRMO, when she developed fever in association with left foot pain, and ulcerative colitis was confirmed endoscopically and histologically based on a previous settled diarrheal illness and severe iron deficiency anemia which required blood. Both conditions responded well to IBD therapy. To the best of our knowledge, this is the first reported case of chronic, multifocal osteomyelitis associated with pediatric UC in Saudi Arabia. This report supports the use of IBD therapy in treating CRMO.
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series Case Reports in Pediatrics
spelling doaj-art-0a0dedf4323f44bba04fda0eb32f66772025-08-20T03:55:27ZengWileyCase Reports in Pediatrics2090-68032090-68112019-01-01201910.1155/2019/51632135163213Unusual Manifestation of Ulcerative ColitisAmna Basheer M. Ahmed0Badr M. Rasheed Alsaleem1Pediatric Gastroenterology Division, Children’s Hospital, King Fahad Medical City, Riyadh, Saudi ArabiaPediatric Gastroenterology Division, Children’s Hospital, King Fahad Medical City, Riyadh, Saudi ArabiaThe relationship of inflammatory bowel disease (IBD) and chronic recurrent multifocal osteomyelitis (CRMO) is understood as extraintestinal rheumatic manifestations. CRMO is a chronic, relapsing, inflammatory, noninfectious disorder of the skeletal system of unknown origin. The disease course is not always recurrent. The association of CRMO and ulcerative colitis (UC) is very rarely reported. We report a case of a 10-year-old Saudi female who was diagnosed with CRMO, when she developed fever in association with left foot pain, and ulcerative colitis was confirmed endoscopically and histologically based on a previous settled diarrheal illness and severe iron deficiency anemia which required blood. Both conditions responded well to IBD therapy. To the best of our knowledge, this is the first reported case of chronic, multifocal osteomyelitis associated with pediatric UC in Saudi Arabia. This report supports the use of IBD therapy in treating CRMO.http://dx.doi.org/10.1155/2019/5163213
spellingShingle Amna Basheer M. Ahmed
Badr M. Rasheed Alsaleem
Unusual Manifestation of Ulcerative Colitis
Case Reports in Pediatrics
title Unusual Manifestation of Ulcerative Colitis
title_full Unusual Manifestation of Ulcerative Colitis
title_fullStr Unusual Manifestation of Ulcerative Colitis
title_full_unstemmed Unusual Manifestation of Ulcerative Colitis
title_short Unusual Manifestation of Ulcerative Colitis
title_sort unusual manifestation of ulcerative colitis
url http://dx.doi.org/10.1155/2019/5163213
work_keys_str_mv AT amnabasheermahmed unusualmanifestationofulcerativecolitis
AT badrmrasheedalsaleem unusualmanifestationofulcerativecolitis