Síndrome de SAPHO. Hallazgos gammagráficos y radiológicos

Gimeno, E. Martínez; Asso, C. Yano; Arjona, Ángeles; Díaz, A. González; Bethencout, M.A. Gómez Rodríguez; Ramirez, Alicia; García, E. Uruburu; Hernández, Rosa-Virginia

doi:10.1016/s0212-6982(00)71918-5

Cited by 6 publications

(1 citation statement)

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“…The clues for the diagnosis of our patient stemmed from systemic examination, radiological examination, and bone scintigraphy, which has been reported to be a sensitive and accurate early diagnostic test for bone lesions of SAPHO syndrome. [ 20 , 21 ] It had been reported that the hip joint is not usually involved in SAPHO syndrome. [ 3 , 7 ] Our patient had severe right hip pain associated with limited range of motion, and imaging studies demonstrated joint obliteration with severe arthritic change and myositis around the hip joint.…”

Section: Discussionmentioning

confidence: 99%

A case report of severely damaged hip joint caused by SAPHO syndrome treated with 2-stage total hip arthroplasty

et al. 2016

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Introduction:Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is an increasingly recognized entity. The hip joint is known as a less frequently affected site in SAPHO syndrome, and there has been limited reports about hip joint diseases caused by SAPHO syndrome, and as such adequate treatment for this disease spectrum is still not fully elucidated.Case:We describe the case of a 52-year-old man admitted for SAPHO syndrome who went on to be diagnosed with advanced secondary hip arthritis associated with disabling right hip pain. The diagnosis of SAPHO syndrome was delayed; the patient was given a clinical diagnosis of osteomyelitis and treated with prolonged courses of antibiotics and open surgical debridement at previous tertiary health facility. The patient underwent 2-stage joint replacement surgery in our hospital. At 1 year after the surgery, he is well, with minimal right hip pain and the prosthesis is functioning well.Conclusion:This case shows the safety and effectiveness of the 2-stage joint replacement in treating destructive hip disease caused by SAPHO syndrome mimicking infectious arthritis.

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Section: Discussionmentioning

confidence: 99%