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Musculoesquelético

11/09/2025
Da Redação

CASO CLÍNICO

Sexo feminino, 8 anos

Queixa: dor cervical à movimentação há 4 meses. Na época realizou TC em outro serviço identificando fratura em corpo vertebral cervical. Acompanhou com fisioterapia, tendo melhora da dor. Há cerca de 1 mês apresentou piora da dor, agora associada a dor no quadril direito, com marcha claudicante. Refere alguns picos febris isolados há mais ou menos 1 mês, sem outros sintomas associados. Nega perda de peso. Nega trauma local.

Antecedentes pessoais: Nega comorbidades, uso de medicações contínuas, internações.

Exames laboratoriais: normais.

Exame físico: refere dor à palpação no quadril direito.

Leia a discussão do caso

TUMOR DE QUADRIL/ACETÁBULO ESQUERDO Dra. Ligia Campozana Germek – Fellow MSK Orientadores: Drs. Danielle Rumi, Liliane D. B. Nascentes e José Lucas S. Galvão Instituição: A Beneficência Portuguesa de São Paulo

ANATOMOPATOLÓGICO

Osteomielite Multifocal Recorrente Crônica (CRMO) O que é? Doença inflamatória rara. Origem desconhecida. Faixa Etária Crianças / adolescentes Quadro Clínico Dor óssea crônica ou recorrente Edema e eritema local Não-infecciosa Diagnóstico De exclusão. Biópsia. Locais mais acometidos: Achados de imagem:

O QUE GUARDAR DESSE CASO?

Considerar CRMO no diagnóstico diferencial de lesões ósseas inflamatórias e multifocais em crianças com achados clínicos e laboratoriais inespecíficos.
Lembrar que essa doença também pode se apresentar com aspecto mais “agressivo” e com dano estrutural ósseo.

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