Title of article :
A Bull’s Head Sign in SAPHO
Author/Authors :
Ulutaş ، Firdevs Department of Rheumatology - Faculty of Medicine - Pamukkale University , Ufuk ، Furkan Department of Radiology - Faculty of Medicine - Pamukkale University , Bozdemir ، Aslı Department of Internal Medicine - Faculty of Medicine - Pamukkale University , Çobankara ، Veli Department of Rheumatology - Faculty of Medicine - Pamukkale University
Abstract :
A syndrome of synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) is a rare autoimmune disease. It occurs in genetically predisposed individuals by immune activation triggered by possible infectious agents. A 60-year-old man was presented with musculoskeletal and cutaneous manifestations. After exclusion of differential diagnoses, he was diagnosed with SAPHO and successfully treated with adalimumab. He had a typical image defined as a bull’s head sign in bone scintigraphy with 99mTcmethylene diphosphonate. Positron emission tomography also revealed increased inflammatory activity in related anterior chest joints and soft tissue. We want to emphasize diagnostic radiological images in patients with SAPHO to increase the awareness of clinicians.
Keywords :
Synovitis , Acne , Pustulosis , Hyperostosis , Osteitis
Journal title :
Case Reports in Clinical Practice
Journal title :
Case Reports in Clinical Practice
