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Article in Japanese

A case of Brodie abscess complicated with Sjögren syndrome

Kazutaka OUCHI, Shinji AKIOKA, Hajime HOSOI

This study reports, herein, a case female of Sjögren syndrome presenting with right ankle pain caused by Brodie abscess. Initially, the pain was considered due to articular involvement in Sjögren syndrome because of normal findings using plain radiography and magnetic resonance imaging (MRI). However, her atypical presentation of persistent and single-site pain, considered as arthritis in Sjögren syndrome, prompted further investigations, including a repetitive MRI study, that revealed a penumbra sign at the distal tibia, a typical sign of subacute osteomyelitis with Brodie abscess. This case showed the importance of prompt diagnosis in facing leg pain with unknown cause.

Department of Pediatrics, Graduate School of Medical Science, Kyoto Prefectural University on Medicine

Key words
Received December 20, 2013
Accepted February 26, 2014

26 (2):220─224,2014