Chronic recurrent multifocal osteomyelitis in a patient with selective immunoglobulin M deficiency

Rheumatol Int. 2009 May;29(7):811-5. doi: 10.1007/s00296-008-0788-0. Epub 2008 Nov 26.

Abstract

Chronic recurrent multifocal osteomyelitis is an unusual inflammatory process of unknown origin involving multiple osseous sites, often recurrently. Selective immunoglobulin M (IgM) deficiency is a rare primary immunodeficiency disease, which can be associated with autoimmune diseases such as systemic lupus erythematosus, Hashimoto's disease, or hemolytic anemia. Here we report a case of a chronic recurrent multifocal osteomyelitis coexisting with selective IgM deficiency.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Antirheumatic Agents / therapeutic use
  • Arthralgia / immunology
  • Arthralgia / physiopathology
  • Autoimmune Diseases / blood
  • Autoimmune Diseases / immunology*
  • Autoimmune Diseases / physiopathology
  • Biomarkers / analysis
  • Biomarkers / blood
  • Bone and Bones / diagnostic imaging
  • Bone and Bones / immunology*
  • Bone and Bones / pathology
  • Chemotaxis, Leukocyte / immunology
  • Child
  • Chronic Disease / drug therapy
  • Femur / pathology
  • Humans
  • Immunoglobulin M / blood
  • Immunoglobulin M / deficiency*
  • Lymphocytes / pathology
  • Magnetic Resonance Imaging
  • Male
  • Osteomyelitis / blood
  • Osteomyelitis / immunology*
  • Osteomyelitis / physiopathology
  • Pelvis / pathology
  • Plasma Cells / pathology
  • Radionuclide Imaging
  • Recurrence
  • Spine / pathology
  • Sulfasalazine / therapeutic use
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Antirheumatic Agents
  • Biomarkers
  • Immunoglobulin M
  • Sulfasalazine