Open AccessBone scan and SPECT/CT scan in SAPHO syndrome
Author(s) -
Nitin Gupta,
Ritu Verma,
Ethel Shangne Belho
Publication year - 2019
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/ijnm.ijnm_139_19
Subject(s) - medicine , sapho syndrome , palmoplantar pustulosis , pustulosis , hyperostosis , bone scintigraphy , osteitis , sternoclavicular joint , synovitis , radiology , sacroiliitis , acne , sternum , osteomyelitis , dermatology , arthritis , psoriasis , surgery , magnetic resonance imaging , clavicle , immunology
Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is a rare clinical entity involving musculoskeletal and dermatologic systems. Its main features are prominent inflammatory cutaneous and articular manifestations. Anterior chest wall pain, more commonly at sternoclavicular and sternocostal joints, along with palmoplantar pustulosis and acne can point to this uncommon syndrome. Here, we report a case of a 15-year-old female, who presented with swelling at the anterior chest wall, was referred for the bone scan. Bone scintigraphy and single-photon emission computed tomography (SPECT/CT) detected classical "bull-head" sign, and further physical examination, for skin lesions, confirmed the diagnosis.