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Femoral and lower costosternal junctions' osteitis in an adult with SAPHO syndrome: An unusual presentation.
Joint Bone Spine 2008; 75(3):338-40JB

Abstract

The combination of synovitis, acne, pustulosis, hyperostosis and aseptic osteitis is known as SAPHO syndrome. Osteitis involves the anterior chest, particularly the sternoclavicular and upper costosternal junctions. Diagnosis is difficult when there are no typical skin and bone lesions and differential diagnosis includes bacterial ostomyelitis, malignancy and Paget's disease. We present a case of SAPHO syndrome with aseptic femoral osteitis and symmetrical involvement of the lower costosternal junctions. The main advantage of recognition and diagnosis of SAPHO syndrome is the avoidance of unnecessary prolonged antibiotic treatment and repeated invasive procedures.

Authors+Show Affiliations

5th Department of Internal Medicine, Evangelismos Hospital, 45-47 Hipsilantou Street, Kolonaki, GR-106 76 Athens, Greece. emylon@med.uoa.grNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17983830

Citation

Mylona, Eleni, et al. "Femoral and Lower Costosternal Junctions' Osteitis in an Adult With SAPHO Syndrome: an Unusual Presentation." Joint, Bone, Spine : Revue Du Rhumatisme, vol. 75, no. 3, 2008, pp. 338-40.
Mylona E, Golfinopoulou S, Peppas C, et al. Femoral and lower costosternal junctions' osteitis in an adult with SAPHO syndrome: An unusual presentation. Joint Bone Spine. 2008;75(3):338-40.
Mylona, E., Golfinopoulou, S., Peppas, C., Fanourgiakis, P., & Skoutelis, A. (2008). Femoral and lower costosternal junctions' osteitis in an adult with SAPHO syndrome: An unusual presentation. Joint, Bone, Spine : Revue Du Rhumatisme, 75(3), pp. 338-40.
Mylona E, et al. Femoral and Lower Costosternal Junctions' Osteitis in an Adult With SAPHO Syndrome: an Unusual Presentation. Joint Bone Spine. 2008;75(3):338-40. PubMed PMID: 17983830.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Femoral and lower costosternal junctions' osteitis in an adult with SAPHO syndrome: An unusual presentation. AU - Mylona,Eleni, AU - Golfinopoulou,Styliani, AU - Peppas,Christos, AU - Fanourgiakis,Panagiotis, AU - Skoutelis,Athanasios, Y1 - 2007/08/31/ PY - 2007/03/19/received PY - 2007/05/16/accepted PY - 2007/11/7/pubmed PY - 2008/6/19/medline PY - 2007/11/7/entrez SP - 338 EP - 40 JF - Joint, bone, spine : revue du rhumatisme JO - Joint Bone Spine VL - 75 IS - 3 N2 - The combination of synovitis, acne, pustulosis, hyperostosis and aseptic osteitis is known as SAPHO syndrome. Osteitis involves the anterior chest, particularly the sternoclavicular and upper costosternal junctions. Diagnosis is difficult when there are no typical skin and bone lesions and differential diagnosis includes bacterial ostomyelitis, malignancy and Paget's disease. We present a case of SAPHO syndrome with aseptic femoral osteitis and symmetrical involvement of the lower costosternal junctions. The main advantage of recognition and diagnosis of SAPHO syndrome is the avoidance of unnecessary prolonged antibiotic treatment and repeated invasive procedures. SN - 1778-7254 UR - https://www.unboundmedicine.com/medline/citation/17983830/Femoral_and_lower_costosternal_junctions'_osteitis_in_an_adult_with_SAPHO_syndrome:_An_unusual_presentation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1297-319X(07)00275-8 DB - PRIME DP - Unbound Medicine ER -