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Xanthogranulomatous Osteomyelitis Presenting as a Subacute Infectious Condition in the Fibula of a Young Female

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초록

Xanthogranulomatous osteomyelitis is a rare, chronic inflammatory disease characterized by infiltrating lipidized histiocytes, lymphocytes, and plasma cells. Xanthogranulomatous osteomyelitis commonly presents as a mass-like lesion on imaging and may be mistaken for a tumor. Here, we describe an unusual manifestation of xanthogranulomatous osteomyelitis with imaging findings resembling those of Brodie’s abscess, posing a diagnostic challenge in a child. Additionally, we suggest a potential correlation between xanthogranulomatous osteomyelitis and a history of prior trauma.

Abstract

Xanthogranulomatous osteomyelitis is a rare, chronic inflammatory disease characterized by infiltrating lipidized histiocytes, lymphocytes, and plasma cells. Xanthogranulomatous osteomyelitis commonly presents as a mass-like lesion on imaging and may be mistaken for a tumor. Here, we describe an unusual manifestation of xanthogranulomatous osteomyelitis with imaging findings resembling those of Brodie’s abscess, posing a diagnostic challenge in a child. Additionally, we suggest a potential correlation between xanthogranulomatous osteomyelitis and a history of prior trauma.

참고문헌 (10)

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  8. Grey AC, "The ‘penumbra sign’ on T1-weighted MR imaging in subacute osteomyelitis:frequency, cause and significance", Clin Radiol, 53, pp.587~592 (1998)
  9. Chang WF, "Localized Langerhans cell histiocytosis masquerading as Brodie’s abscess in a 2-year-old child : a case report", EXCLI J, 15, pp.33~37 (2016)
  10. Kasalak Ö, "Diagnostic value of MRI signs in differentiating Ewing sarcoma from osteomyelitis", Acta Radiol, 60, pp.204~212 (2019)

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