Childhood nonbacterial osteomyelitis (CNO) is an autoimmune condition in which there is chronic inflammation in the bone. Childhood nonbacterial osteomyelitis is more commonly known as chronic recurrent multifocal osteomyelitis (CRMO) in the Western Hemisphere. In traditional (bacterial) osteomyelitis, bacteria cause infection in the bone. With childhood nonbacterial osteomyelitis, there are no bacteria or infections in the bone—it is inflammation in the bone that may at first appear to be infection.
Symptoms of childhood nonbacterial osteomyelitis include:
Because the condition mimics a bone infection, children often see various specialists before getting an accurate diagnosis. Your child’s rheumatologist will run one or more of the following tests to diagnose childhood nonbacterial osteomyelitis:
If your child’s doctor diagnoses him or her with childhood nonbacterial osteomyelitis, it is important that you seek the expert treatment of a pediatric rheumatologist as soon as possible to avoid long-term damage.
Childhood nonbacterial osteomyelitis flare-ups can last a couple of weeks to several months. Correct treatment can help reduce how long the flare-ups last. The goals of treatment for this condition are to:
Your child’s pediatric rheumatologist may also prescribe one or more of the following medicines to help manage the symptoms of CNO:
Your child’s rheumatologist may also recommend that he or she see a physical therapist or occupational therapist to make sure he or she stays engaged in the activities of everyday life.
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