整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
SAPHO 症候群の 2 例
諸岡 聡弦本 敏行松本 智子熊谷 謙治鈴木 暢彦村田 雅和進藤 裕幸
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2003 年 52 巻 4 号 p. 707-711

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We report the radiological and clinical features of SAPHO syndrome. Case 1 was a 51-year-old woman who had been suffering from palmoplantar pustulosis and painful osteitis of the left clavicle and lumbar spine for one year. Initial MRI T2 weighted images of the lumbar spine showed high intensity, and a later MRI showed low intensity. Bone biopsy showed nonspecific inflammatory infiltration with lymphocytes and plasma cells. Case 2 was a 48-year-old man suffering from palmoplantar pustulosis and right hip pain since he was 27 years old. Roentgenograph showed osteolytic lesion on the iliac side of the right sacroiliac joint. MRI showed low intensity on T1 weighted images and high intensity on T2 weighted images. An open biopsy showed no evidence of malignancy or microorganisms. They were diagnosed as SAPHO syndrome, and treated with nonsteroidal anti-inflammatory drugs.
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© 2003 西日本整形・災害外科学会
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