Diagnostic management of patients with SAPHO syndrome: Use of MR imaging to guide bone biopsy at CT for microbiological and histological work-up

European Radiology

Volumn 13, Issue 10, 2003, Pages 2304-2308

  Kirchhoff, Timm ^a   Merkesdal, Sonja ^a   Rosenthal, Herbert ^a   Prokop, Mathias ^a   Chavan, Ajay ^a   Wagner, Annette ^a   Mai, Uwe ^b   Hammer, Michael ^c   Zeidler, Henning ^a   Galanski, Michael ^a  

^a HANNOVER MEDICAL SCHOOL   (Germany)

^b Inst fuer Med Mikrobiol/Hygiene   (Germany)

^c Klinik fuer Rheumatologie   (Germany)

Author keywords

Bone biopsy; CT; MRI; Propionibacterium acnes; SAPHO syndrome

Indexed keywords

ANTIBIOTIC AGENT; AZITHROMYCIN; DOXYCYCLINE; GADOLINIUM PENTETATE; IMMUNOSUPPRESSIVE AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; STEROID;

ADULT; ANTIBIOTIC SENSITIVITY; ARTICLE; BACTERIAL INFECTION; BONE BIOPSY; CLINICAL ARTICLE; COMPUTER ASSISTED DIAGNOSIS; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC APPROACH ROUTE; DIAGNOSTIC IMAGING; DRUG EFFICACY; FEMALE; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; IMAGE ENHANCEMENT; MALE; MICROBIOLOGICAL EXAMINATION; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; PROPIONIBACTERIUM ACNES; SAPHO SYNDROME;

ACQUIRED HYPEROSTOSIS SYNDROME; ADULT; ANTI-BACTERIAL AGENTS; ARTIFACTS; BIOPSY, NEEDLE; BONE MARROW; COHORT STUDIES; DIAGNOSTIC IMAGING; FEMALE; FOLLOW-UP STUDIES; HUMANS; IMMUNOHISTOCHEMISTRY; MAGNETIC RESONANCE IMAGING; MALE; MICROBIAL SENSITIVITY TESTS; MIDDLE AGED; PROPIONIBACTERIUM ACNES; RISK ASSESSMENT; SAMPLING STUDIES; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX; TOMOGRAPHY, X-RAY COMPUTED;

EID: 10744224189     PISSN: 09387994     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00330-003-1849-0     Document Type: Article

References (23)

1. Chamot AM, Benhamou CL, Kahn MF, Beraneck L, Kaplan G, Prost A (1987) Acne-pustulosis-hyperostosis-osteitis syndrome. Results of a national survey. 85 cases. Rev Rhum Mal Osteoartic 54:187-196
2. Sonozaki H, Mitsui H, Miyanaga Y, Okitsu K, Igarashi M, Hayashi H, Matsuura M, Azuma K, Okai K, Kawashima M (1981) Clinical features of 53 cases with pustulotic arthroosteitis. Ann Rheum Dis 40:547-555
3. Schilling F, Fassbender HG (1985) Sterno-kosto-klavikuläre Hyperostose-pustulotische Arthro-Osteitis-Pustulosis palmaris et plantaris: Eine enthesiopathische Extremform der psoriatischen Spondarthritis? Z Rheumatol 44:46
4. Dihlmann W, Dihlmann SW, Hering L (1997) Acquired hyperostosis syndrome-AHYS (sternocostoclavicular hyperostosis, pustulotic arthro-osteitis, SAPHO syndrome): bone scintigraphy of the anterior chest wall. Clin Rheumatol 16:13-24
5. Kasperczyk A, Freyschmidt J (1994) Pustulotic arthroosteitis: spectrum of bone lesions with palmoplantar pustulosis. Radiology 191:207-211
6. Dihlmann W, Dihlmann SW (1991) Acquired hyperostosis syndrome: spectrum of manifestation at the sternococtoclavicular region. Radiologic evaluation of 34 cases. Clin Rheumatol 10:250-263
7. Kahn MF, Chamot AM (1992) SAPHO syndrome. Rheum Dis Clin North Am 18:225-246
8. Bechtold RE, Karstaedt N, Wolfman NT (1990) MR appearance of sternal hyperostosis. J Comput Assist Tomogr 14:136-139
9. Kahn MF, Bouvier M, Palazzo E, Tebib JG, Colson F (1991) Sternoclavicular pustulotic osteitis (SAPHO). 20-year interval between skin and bone lesions. J Rheumatol 18:1104-1108
10. Boutin RD, Resnick D (1998) The SAPHO syndrome: an evolving concept for unifying several idiopathic disorders of bone and skin. Am J Roentgenol 170:585-591
11. Reith JD, Bauer TW, Schils JP (1996) Osseous manifestations of SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) syndrome. Am J Surg Pathol 20:1368-1377
12. Benhamou CL, Chamot AM, Kahn MF (1988) Synovitis-acne-pustulosis hyperostosis-osteomyelitis syndrome (SAPHO). A new syndrome among the spondyloarthropathies? [see comments]. Clin Exp Rheumatol 6:109-112
13. Edlund E, Johnsson U, Lidgren L, Petterson H, Sturfelt G, Svensson B, Theander J, Willen H (198 8) Palmoplantar pustulosis and sternocostoclavicular arthro-osteitis. Ann Rheum Dis 47:809-815
14. Kotilainen P, Merilahti Palo R, Lehtonen OP, Manner I, Helander I, Mottonen T, Rintala E (1996) Propionibacterium acnes isolated from sternal osteitis in a patient with SAPHO syndrome. J Rheumatol 23:1302-1304
15. Gerster JC, Lagier R, Livio JJ (1990) Propionibacterium acnes in a spondylitis with palmoplantar pustulosis (letter to the editor). Ann Rheum Dis 49:337
16. Wagner AD, Mai U, Hammer M, Zeidler H (1997) Longterm antibiotic therapy successful in patients with SAPHO-syndrome. Arthritis Rheum 40:62
17. Jurik AG, Egund N (1997) MRI in chronic recurrent multifocal osteomyelitis. Skeletal Radiol 26:230-238
18. Williamson MR, Quenzer RW, Rosenberg RD, Meholic AJ, Eisenberg B, Espinosa MC, Hartshorne MF (1991) Osteomyelitis: sensitivity of 0.064 T MRI, three-phase bone scanning and indium scanning with biopsy proof. Magn Reson Imaging 9:945-948
19. Hopkins KL, Li KC, Bergman G (1995) Gadolinium-DTPA-enhanced magnetic resonance imaging of musculoskeletal infectious processes. Skeletal Radiol 24:325-330
20. Trimble BS, Evers CJ, Ballaron SA, Young JM (1987) Intraarticular injection of Propionibacterium acnes causes an erosive arthritis in rats. Agents Actions 21:281-283
21. Yocum RC, McArthur J, Petty BG, Diehl AM, Moench TR (1982) Septic arthritis caused by Propionibacterium acnes. J Am Med Assoc 248:1740-1741
22. Schilling F, Wagner AD (2000) Azithromycin: an anti-inflammatory effect in chronic recurrent multifocal osteomyelitis? A preliminary report. Z Rheumatol 59:352-353
23. Freyschmidt J, Freyschmidt-Paul P (2001) SKIBO diseases: a concept to avoid bloody diagnostic procedures in ambiguous skeletal lesions. Eur Radiol 11:1729-1742