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Diagnostic points and possible origin of osteomyelitis in synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome: a radiographic study of 77 mandibular osteomyelitis cases.
Rheumatology (Oxford) 2003; 42(11):1398-403R

Abstract

OBJECTIVES

To find diagnostic points and to identify the origin of osteomyelitis in synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome.

METHODS

Fifty-two patients with mandibular suppurative osteomyelitis and 25 patients with mandibular osteomyelitis in SAPHO syndrome were included in the study. Radiographic patterns of the lesion, types of periosteal reaction and the presence of external bone resorption and bone enlargement were investigated in each case and compared between the two entities.

RESULTS

Suppurative osteomyelitis demonstrated an osteolytic pattern and a lamellated type of periosteal reaction, whereas SAPHO syndrome revealed a mixed-pattern, solid-type periosteal reaction, external bone resorption and bone enlargement.

CONCLUSIONS

Radiographic examination is suggested to be convenient and a useful diagnostic method of differentiating osteomyelitis in SAPHO syndrome from suppurative osteomyelitis. The periosteum is suspected to be the original site of osteomyelitic lesions in SAPHO syndrome.

Authors+Show Affiliations

Hiroshima University Dental Hospital, Hiroshima, Japan. suei@hiroshima-u.ac.jpNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

12867589

Citation

Suei, Y, et al. "Diagnostic Points and Possible Origin of Osteomyelitis in Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis (SAPHO) Syndrome: a Radiographic Study of 77 Mandibular Osteomyelitis Cases." Rheumatology (Oxford, England), vol. 42, no. 11, 2003, pp. 1398-403.
Suei Y, Taguchi A, Tanimoto K. Diagnostic points and possible origin of osteomyelitis in synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome: a radiographic study of 77 mandibular osteomyelitis cases. Rheumatology (Oxford). 2003;42(11):1398-403.
Suei, Y., Taguchi, A., & Tanimoto, K. (2003). Diagnostic points and possible origin of osteomyelitis in synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome: a radiographic study of 77 mandibular osteomyelitis cases. Rheumatology (Oxford, England), 42(11), pp. 1398-403.
Suei Y, Taguchi A, Tanimoto K. Diagnostic Points and Possible Origin of Osteomyelitis in Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis (SAPHO) Syndrome: a Radiographic Study of 77 Mandibular Osteomyelitis Cases. Rheumatology (Oxford). 2003;42(11):1398-403. PubMed PMID: 12867589.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnostic points and possible origin of osteomyelitis in synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome: a radiographic study of 77 mandibular osteomyelitis cases. AU - Suei,Y, AU - Taguchi,A, AU - Tanimoto,K, Y1 - 2003/07/16/ PY - 2003/7/18/pubmed PY - 2004/1/24/medline PY - 2003/7/18/entrez SP - 1398 EP - 403 JF - Rheumatology (Oxford, England) JO - Rheumatology (Oxford) VL - 42 IS - 11 N2 - OBJECTIVES: To find diagnostic points and to identify the origin of osteomyelitis in synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome. METHODS: Fifty-two patients with mandibular suppurative osteomyelitis and 25 patients with mandibular osteomyelitis in SAPHO syndrome were included in the study. Radiographic patterns of the lesion, types of periosteal reaction and the presence of external bone resorption and bone enlargement were investigated in each case and compared between the two entities. RESULTS: Suppurative osteomyelitis demonstrated an osteolytic pattern and a lamellated type of periosteal reaction, whereas SAPHO syndrome revealed a mixed-pattern, solid-type periosteal reaction, external bone resorption and bone enlargement. CONCLUSIONS: Radiographic examination is suggested to be convenient and a useful diagnostic method of differentiating osteomyelitis in SAPHO syndrome from suppurative osteomyelitis. The periosteum is suspected to be the original site of osteomyelitic lesions in SAPHO syndrome. SN - 1462-0324 UR - https://www.unboundmedicine.com/medline/citation/12867589/Diagnostic_points_and_possible_origin_of_osteomyelitis_in_synovitis_acne_pustulosis_hyperostosis_and_osteitis__SAPHO__syndrome:_a_radiographic_study_of_77_mandibular_osteomyelitis_cases_ L2 - https://academic.oup.com/rheumatology/article-lookup/doi/10.1093/rheumatology/keg396 DB - PRIME DP - Unbound Medicine ER -