SAPHO syndrome with temporomandibular joint ankylosis: clinical, radiological, histopathological, and therapeutical correlations

Utumi, Estevam Rubens; Sales, Marcelo Augusto Oliveira de; Shinohara, Élio Hitoshi; Takahashi, André; Coracin, Fabio Luiz; Rocha, Rodney García; Cavalcanti, Marcelo Gusmão Paraíso

doi:10.1016/j.tripleo.2007.09.010

Cited by 23 publications

(23 citation statements)

References 11 publications

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“…Ceci peut évoluer vers une ankylose occasionnant alors une limitation de l'ouverture buccale de sévérité variable [7][8][9].…”

Section: Le Rôle De L'odontologiste Dans Le Diagnostic Du Syndrome Saphounclassified

“…En effet, de façon fortuite ou sur point d'appel, l'examen clinique ou l'orthopantomogramme peut mettre en évidence des manifestations oro-faciales osseuses ou cutanées que l'odontologiste doit repérer et confronter aux atteintes que le patient peut présenter en dehors de la sphère buccale [7][8][9][10]. De plus, une fois le diagnostic établi, l'odontologiste doit faire preuve de vigilance quant aux traitements systémiques instaurés dans le cadre de ce syndrome car ils sont bien souvent responsables d'une majoration du risque infectieux.…”

Section: Introductionunclassified

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Le rôle de l’odontologiste dans le cadre du syndrome SAPHO : cas cliniques et revue de la littérature des signes oro-faciaux

Sturque

Denis

Guillerminet

et al. 2016

Med Buccale Chir Buccale

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Résumé -Introduction :Le syndrome SAPHO est une affection rare associant des signes ostéo-articulaires et cutanés. C'est une maladie douloureuse et invalidante atteignant plus fréquemment les femmes que les hommes. Les signes cliniques au niveau de la sphère oro-faciale sont rarement évoqués. Observations : Les signes cliniques oro-faciaux évocateurs de ce syndrome ont été rapportés chez un homme de 50 ans et la prise en charge odontotologique d'une femme de 39 ans atteinte d'un syndrome SAPHO est décrite. Discussion : L'odontologiste peut être amené à diagnostiquer un syndrome SAPHO devant certains signes oro-faciaux évocateurs qui font l'objet d'une revue de la littérature. De plus, il apporte sa contribution dans la prise en charge des lésions oro-faciales liées directement au syndrome ou indirectement mais dont le traitement nécessite des précautions particulières ainsi que par la recherche de foyers infectieux avant l'instauration des traitements du syndrome SAPHO. Conclusion : L'odontologiste doit jouer un rôle actif dans la prise en charge du syndrome SAPHO tant sur le versant diagnostique que thérapeutique.Abstract -The role of the dentist in SAPHO syndrome: case reports and literature review of orofacial manifestations. Introduction: SAPHO syndrome is a rare disorder combining osteoarticular and cutaneous signs. It is a painful and disabling disease, which affects women more frequently than men. Orofacial manifestations are rarely reported. Observation: The first case presents orofacial manifestations suggestive of SAPHO syndrome involving a 50-year-old patient, and the second case shows a 39-year-old woman affected by SAPHO syndrome treated in a department of dentistry. Discussion: Certain orofacial manifestations can suggest a diagnosis of SAPHO syndrome, which are the subject of a literature review. The dentist contributes to the management of the orofacial manifestations directly linked to the syndrome or indirectly, for which the treatment requires particular precautions and searching for foci of infection before the commencement of the SAPHO syndrome treatments. Conclusion: The dentist must be allowed to play an active role in the management of SAPHO syndrome, in both the diagnostic and therapeutic aspects.

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“…Ceci peut évoluer vers une ankylose occasionnant alors une limitation de l'ouverture buccale de sévérité variable [7][8][9].…”

Section: Le Rôle De L'odontologiste Dans Le Diagnostic Du Syndrome Saphounclassified

Section: Introductionunclassified

Le rôle de l’odontologiste dans le cadre du syndrome SAPHO : cas cliniques et revue de la littérature des signes oro-faciaux

Sturque

Denis

Guillerminet

et al. 2016

Med Buccale Chir Buccale

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“…The characteristic lesions of pustulosis palmoplantaris (PPP), a chronic, sterile inflammation of the palms and soles ( Figure 1C), may develop at any stage in the natural history of the disease in approximately 50% of patients. The spine and mandible may also be affected, leading to the additional clinical manifestations of back pain, limitation of movement of the spine, and pain and limitation of movement of the jaw (1). The disease has a variable natural course, characterized by periods of exacerbation and remission.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic delay in sternocostoclavicular hyperostosis: Impact on various aspects of quality of life

Kloot¹,

Chotkan²,

Kaptein³

et al. 2010

Arthritis Care & Research

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Objective. Sternocostoclavicular hyperostosis (SCCH) is a rare, debilitating, chronic inflammatory disorder of the anterior chest wall due to a chronic sterile osteomyelitis of unknown origin, often associated with characteristic skin lesions of palms and soles: pustulosis palmoplantaris. SCCH goes often unrecognized for years before the diagnosis is established and treatment instituted. The objective of this study was to trace the diagnostic paths of patients with SCCH and to investigate the consequences associated with diagnostic delay. Methods. Data were collected through structured interviews of 52 patients with a clinically, scintigraphically, and radiologically established diagnosis of SCCH. Results. The majority of patients presented with swelling and/or pain in the sternocostoclavicular region and/or limited movement of the shoulder girdle. Pustulosis palmoplantaris was present in ϳ30% of patients. The disease went unrecognized for a median of 3.5 years. Patients were often seen by at least 3 members of the medical profession before the diagnosis was suspected and eventually established. Lack of recognition of the clinical manifestations of the disease and delay in diagnosis were associated with important physical, psychological, and socioeconomic consequences affecting quality of life. Conclusion. SCCH remains an ill-recognized disease despite its characteristic clinical features. A low level of awareness of the disorder leads to a delay in diagnosis, which has a significant impact on various aspects of quality of life. Awareness should be raised for this disorder, enabling timely diagnosis and initiation of treatment to prevent the irreversible physical and psychological sequelae associated with the protracted untreated state.

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“…sternoclavicular joints and sternocostal synchondroses), as well as the sacroiliac joints [10]. Spinal and peripheral joints are less frequently affected; among them, the least common localizations are knee joints and temporomandibular joints [7,11,[15][16][17]. The involvement of joints probably takes place through the expansion of the chronic inflammation present in bones [10].…”

mentioning

confidence: 99%

“…They are often accompanied with painful edema of the surrounding soft tissues [9]. A change affecting the mandibular bone can be isolated or coexist with osseous manifestations in other parts of the skeleton [4,7,11,16,20].…”

mentioning

confidence: 99%

SAPHO Syndrome as a Potential Cause of Chronic Mandibular Bone Inflammation and Temporomandibular Joint Dysfunction – Case Report

Kustroń¹,

Stępień²,

Gerber³

2016

Dent. Med. Probl.

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SAPHO syndrome with temporomandibular joint ankylosis: clinical, radiological, histopathological, and therapeutical correlations

Cited by 23 publications

References 11 publications

Le rôle de l’odontologiste dans le cadre du syndrome SAPHO : cas cliniques et revue de la littérature des signes oro-faciaux

Le rôle de l’odontologiste dans le cadre du syndrome SAPHO : cas cliniques et revue de la littérature des signes oro-faciaux

Diagnostic delay in sternocostoclavicular hyperostosis: Impact on various aspects of quality of life

SAPHO Syndrome as a Potential Cause of Chronic Mandibular Bone Inflammation and Temporomandibular Joint Dysfunction – Case Report

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