Evidence map›Paper›PMID 31375886›Full record

ArticleRheumatology international2020

Chronic nonbacterial osteomyelitis in children: a multicenter case series.

Sara Concha, Alfonso Hernández-Ojeda, Oscar Contreras, Cecilia Mendez, Eduardo Talesnik, Arturo Borzutzky

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Rheumatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. HLA-B*27 is associated with CNO in a European cohort.Pediatric rheumatology online journal · 2023
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  5. A novelLife science alliance · 2026
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  6. [Genetic basis of chronic nonbacterial osteomyelitis].Zeitschrift fur Rheumatologie · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Sara ConchaDepartment of Infectious Diseases and Pediatric Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362 Of. 807, Santiago, 8330077, Chile.ORCID http://orcid.org/0000-0001-9930-6357
Alfonso Hernández-OjedaDepartment of Pediatric Immunology and Rheumatology, Hospital Hernán Henríquez Aravena, Temuco, Chile.ORCID http://orcid.org/0000-0003-4619-8027
Oscar ContrerasDepartment of Radiology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID http://orcid.org/0000-0002-4023-0850
Cecilia MendezDepartment of Pediatric Immunology and Rheumatology, Hospital Sótero del Rio, Santiago, Chile.ORCID http://orcid.org/0000-0003-2417-8471
Eduardo TalesnikDepartment of Infectious Diseases and Pediatric Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362 Of. 807, Santiago, 8330077, Chile.ORCID http://orcid.org/0000-0002-4048-8640
Arturo BorzutzkyDepartment of Infectious Diseases and Pediatric Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362 Of. 807, Santiago, 8330077, Chile. aborzutz@uc.cl.ORCID http://orcid.org/0000-0002-7904-262X
Pontificia Universidad Católica de Chile · CLComplejo Asistencial Sótero del Río · CLHospital Doctor Hernán Henríquez Aravena · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic nonbacterial osteomyelitis (CNO) is a primary autoinflammatory bone disease that presents more frequently in children and is characterized by inflammatory bone lesions in the absence of an infectious etiology. There is little information of this disease in Latin America. The objective of the study was to evaluate demographic, clinical, laboratory, imaging, histopathology characteristics, and treatment responses of pediatric CNO patients. The clinical records of 19 patients with CNO diagnosed between 2007 and 2019 at three tertiary centers in Santiago, Chile were reviewed. The median age of onset was 10 years and 47% were female. Median delay in diagnosis was 12 months. All patients had a pattern of recurrent multifocal disease. 37% of patients had positive antinuclear antibodies and 16% HLA-B27 positivity. 21% of patients presented arthritis or other rheumatologic comorbidity, although no association with psoriasis, inflammatory bowel disease (IBD) or palmoplantar pustulosis (PPP) was observed. Eighteen patients received treatment with nonsteroidal anti-inflammatory drugs with partial response. Twelve patients received methotrexate, and half of them received steroids at the same time reaching remission in 50%. Of the five patients who received bisphosphonates, 60% achieved remission. All four patients who received adalimumab had comorbid arthritis and 75% achieved remission. In a series of Chilean children with CNO, all patients presented with multifocal lesions. Comorbid autoimmune diseases including arthritis were frequent, but no association was observed with psoriasis, IBD, or PPP.

Indexed as

AdalimumabAdolescentAntibodies, AntinuclearAnti-Inflammatory Agents, Non-SteroidalAntirheumatic AgentsArthritis, JuvenileBone Density Conservation AgentsChildChild, PreschoolChileComorbidityDelayed DiagnosisDiphosphonatesErythema NodosumFemaleGlucocorticoidsAdalimumabAntibodies, AntinuclearAnti-Inflammatory Agents, Non-SteroidalAntirheumatic AgentsBone Density Conservation AgentsDiphosphonatesGlucocorticoidsHLA-B27 AntigenMethotrexateAutoimmunityChildrenChronic nonbacterial osteomyelitisChronic recurrent multifocal osteomyelitisOsteomyelitis

Identifiers

PMID31375886
OpenAlexW2965990939

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.