Chronic recurrent multifocal osteomyelitis
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A 26-year-old woman presented with a 5-year history of swelling and pain over the right collar bone. She also complained the similar swelling and pain over the mid left thigh for a year. There was no history of fever, loss of weight or other co-morbidities. On physical examination, there was tenderness and diffuse homogenous hard swelling over the right clavicle sparing the lateral end. Local examination of left thigh also revealed the localized tenderness over the mid part with no swelling or redness. Laboratory investigations were notable for no evidence of hematologic malignancy or infection. She underwent plain radiographs of both the right shoulder region, including the clavicle, and left femur.

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