Abstract
Synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome was first described as chronic recurrent multifocal osteomyelitis. Because of its rarity, a thorough description of its clinical manifestations is lacking. Herein, we describe the clinical manifestations and imaging features, especially the enthesopathy in bilateral Achilles tendons, of a middle-aged Asian woman with SAPHO syndrome, who improved after diclofenac treatment.
Keywords:
musculoskeletal and joint disorders; musculoskeletal syndromes; radiology (diagnostics).
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MeSH terms
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Achilles Tendon / diagnostic imaging
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Achilles Tendon / pathology
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Acquired Hyperostosis Syndrome / diagnostic imaging*
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Acquired Hyperostosis Syndrome / drug therapy
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Acquired Hyperostosis Syndrome / pathology*
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Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
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Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
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Chronic Pain / diagnosis*
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Chronic Pain / etiology
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Diagnosis, Differential
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Diclofenac / administration & dosage
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Diclofenac / therapeutic use
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Enthesopathy / diagnostic imaging*
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Enthesopathy / pathology
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Female
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Humans
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Magnetic Resonance Imaging / methods
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Middle Aged
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Osteomyelitis / diagnostic imaging
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Tomography, X-Ray Computed / methods
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Treatment Outcome
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Ultrasonography / methods
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Whole Body Imaging / methods
Substances
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Anti-Inflammatory Agents, Non-Steroidal
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Diclofenac