Medical management of XXXX .

@entity1 @entity158 @entity10545
OBJECTIVE: To see if the results of managing @entity10545 with medical treatment alone is comparable to those after surgery or other ablative therapy. DESIGN: A case series. SETTING: A tertiary care centre. @entity1 : Eleven @entity1 with @entity10545 treated over a 5-year period. The condition was diagnosed from a typical history, @entity1 age, standard radiography, computed tomography, bone scanning, complete blood count and measurement of the erythrocyte sedimentation rate. INTERVENTIONS: Continued medical treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) for 6 months after @entity158 ceased. Surgery was done only in those who refused or could not tolerate medical treatment. MAIN RESULTS: Medical treatment successfully controlled the @entity158 in all @entity1 . Two @entity1 decided to undergo surgery because of intolerance to the NSAIDS. In 7 @entity1 the symptoms resolved after a mean time of 2.5 years. Two @entity1 were still taking NSAIDS 5 years from the time of diagnosis. CONCLUSIONS: The natural history of @entity10545 is self-limited so @entity1 should be offered nonoperative treatment, reserving ablative treatment for those who are unable or unwilling to take NSAIDs until their symptoms resolve.
