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Case Reports
. 2022 Apr 13:10:871993.
doi: 10.3389/fped.2022.871993. eCollection 2022.

Chronic Non-infectious Osteomyelitis Mimicking Scurvy as the Presenting Sign of Crohn's Disease: Case Report

Alexa Goldfarb  1 , Stefan Breitling  2 , Owen Amadasun  2 , Bridget Kiernan  2 , Gabrielle Gold-von Simson  2 , Selin T Sagalowsky  2
Affiliations
Case Reports

Chronic Non-infectious Osteomyelitis Mimicking Scurvy as the Presenting Sign of Crohn's Disease: Case Report

Alexa Goldfarb et al. Front Pediatr. .

Abstract

Chronic non-infectious osteomyelitis (CNO) is a rare, inflammatory process associated with pediatric inflammatory bowel disease (IBD). Signs and symptoms of CNO parallel scurvy, a nutritional deficiency that can affect children with autism spectrum disorder (ASD). This is the first report of a child initially thought to have scurvy, then subsequently diagnosed with CNO as the presenting manifestation of Crohn's disease. This case enhances the literature elucidating extra-intestinal manifestations of IBD and pediatric nutritional deficiencies.

Keywords: autism spectrum disorder (ASD); case report; inflammatory bowel disease; nutrition; osteomyelitis.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Magnetic resonance image of the patient’s bilateral lower extremities. Image demonstrates decreased T1 and increased T2 signal abnormality in the intertrochanteric femora bilaterally, right slightly greater than left.
FIGURE 2
FIGURE 2
Erosions seen in the descending colon on colonoscopy.
See this image and copyright information in PMC

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