Focal plasma cell osteomyelitis: an unusual presentation on the foot

Plasma cellular osteomyelitis is a chronic and recurrent non purulent bone inflammatory entity charactererized by abundance of plasma cells in the lesional bone. Is a recurrent, unifocal or multifocal disorder, which has an unknown etiology with clinical and radiographic features that may make it im...

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Detalhes bibliográficos
Autores: Córdoba Fernández, Antonio, Jiménez Cristino, María Dolores, Lobo Martín, Adrián
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/137403
Acesso em linha:https://hdl.handle.net/11441/137403
https://doi.org/10.1016/j.fastrc.2022.100151
Access Level:acceso abierto
Palavra-chave:Primary chronic osteomyelitis
Sclerosing osteomyelitis
Periostitis ossificans
Descrição
Resumo:Plasma cellular osteomyelitis is a chronic and recurrent non purulent bone inflammatory entity charactererized by abundance of plasma cells in the lesional bone. Is a recurrent, unifocal or multifocal disorder, which has an unknown etiology with clinical and radiographic features that may make it impossible to distinguish from other non-suppurative sclerosing osteomyelitis. This rare condition usually occurs in metaphysis of a long bone of chil dren or young adults. We report a case of PCO in a 64-year-old woman with intermittent diffused pain in the hal lux of the left foot after several nail avulsions and two surgical procedures on the distal phalanx. The histological study of the bone sample showed reactive sclerotic bone with plasma cells compatible with PCO. In spite of its infectious origin, as in the present case the causal agent is not always identified. Owing to rarity of entity, a clini cal diagnosis is usually not considered and a histopathological examination is essential to establish of a definitive diagnosis.