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SAPHO综合征5例临床分析

Clinical Analysis on 5 Cases of Synovitis-Acne-Pustulosis-Hyperostosis-Osteitis Syndrome

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【作者】 陈文静翁志强黄海彬黄文辉陶怡陈永锋

【Author】 CHEN Wen-jing 1,WENG Zhi-qiang 2,HUANG Hai-bin 2,HUANG Wen-hui 2,TAO Yi 2,CHEN Yong-feng 1(1.Guangdong Provincial Dermatology Hospital,Guangzhou 510091,China;2.The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

【机构】 广东省皮肤病医院广州医学院附属第二医院

【摘要】 目的:了解SAPHO综合征的临床特征,提高对本病的认识。方法:对5例SAPHO患者的相关资料进行总结分析。结果:5例患者男女发病比例相当,表现为不同程度的皮肤、骨和关节改变,以前胸壁、胸锁关节和脊柱受累为主,前胸壁、胸锁关节等X线检出阳性率为80%(4/5),CT检出阳性率达到100%(3/3)。脊柱行CT检查和MRI检查的患者均有阳性病变。结论:SAPHO综合征容易误诊,影像学检查是必要的。早期进行治疗可以有效减轻症状,干预病变进展。

【Abstract】 Objective:To investigate the clinical characteristics of synovitis-acne-pustulosis-hyperostosis-osteitis syndrome(SAPHO) and to improve the understanding of SAPHO syndrome.Methods:Relative data on 5 cases of SAPHO were analysized and summarized.Results:The clinical manifestations were different degree changes of skin,bones and joints.The main pathological changes were seen in anterior chest wall,sternoclavicular joint and spine.The positive rates of X ray were 80%(4/5)and 100%(3/3) of CT on positions such as anterior chest wall and sternoclavicular joints.There were positive changes on CT and MRI of the spine.Conclusion:It is easy to misdiagnose SAPHO syndrome in clinics and it is necessary to develop imaging examinations.It is possible to reduce clinical symptoms and slow the progress through early treatment.

  • 【文献出处】 皮肤性病诊疗学杂志 ,Journal of Diagnosis and Therapy on Dermato-venereology , 编辑部邮箱 ,2013年03期
  • 【分类号】R725.9
  • 【被引频次】3
  • 【下载频次】176
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