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Chronic multifocal non suppurative o.m.

  1. Not so rare
  2. Comprises several different syndromes
  3. Associated with chronic Skin infection
  4. Children & adolescent
  5. Multifocal, recurrent lesions in metaphysis of long bones, clavicle, ant. Rib cage, sterno costo clavicular complex, vertebrae
  6. SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis)
  7. No abccess,
  8. Biopsy shows-chr. Inflammatory
  9. Treatment is Palliative,
  10. Antibiotics have no role
  11. Prognosis- good

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