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KMID : 1103720170760050358
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Journal of the Korean Society of Radiology
2017 Volume.76 No. 5 p.358 ~ p.362
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Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis Syndrome: A Case of Spine, Pelvis, and Anterior Chest Wall Involvement, with Overlooked Plantar Pustulosis
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Kim Hyun-Soo
Jeong Soh-Yong
Lee Su-Jin
Baek In-Woon
Park Jeong-Mi
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Abstract
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Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is an inflammatory clinical condition with aseptic bone lesions and characteristic skin manifestations. A 63-year-old woman presented with vague musculoskeletal symptoms including chronic buttock pain. The clinical work-up revealed multiple spine and osteoarticular involvement. Multilevel bone marrow edema and cortical erosions involving the spine, asymmetric sacroiliitis, and osteosclerosis of the sternoclavicular joint were consistent with a diagnosis of SAPHO syndrome. Considering SAPHO syndrome in the differential diagnosis, subsequent skin inspection revealed plantar pustulosis. Despite the unique feature of accompanying skin and skeletal lesions, skin lesions could be overlooked if not suspected.
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KEYWORD
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Acquired Hyperostosis Syndrome, Spiral Cone-Beam Computed Tomography, Magnetic Resonance Imaging
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