🤓 Join the dots ....!
🔸What's the diagnosis?
🔸Next most appropriate investigation?
#MedTwitter #Rheumatology #RheumTwitter #MedEd
@MedTweetorials @nihardesai7 @JosephMerolaMD
🔸What's the diagnosis?
🔸Next most appropriate investigation?
#MedTwitter #Rheumatology #RheumTwitter #MedEd
@MedTweetorials @nihardesai7 @JosephMerolaMD
Excellent stuff!
It was indeed a case of #SAPHO syndrome
💭When to suspect it?
🔸recurrent STERILE osteitis especially involving the anterior chest wall
🔸Arthritis or sterile osteitis
WITH Pustulosis/acne/hidradenitis suppuritiva
It was indeed a case of #SAPHO syndrome
💭When to suspect it?
🔸recurrent STERILE osteitis especially involving the anterior chest wall
🔸Arthritis or sterile osteitis
WITH Pustulosis/acne/hidradenitis suppuritiva
📝Close DDs
🔸PAPA syndrome ( & other pyrin associated inflammatory diseases)
🔸 Spondyloarthritis spectrum
🔸CRMO (childhood)
🔸DIRA (infancy)
🔸PAPA syndrome ( & other pyrin associated inflammatory diseases)
🔸 Spondyloarthritis spectrum
🔸CRMO (childhood)
🔸DIRA (infancy)
👉Characteristic sign of #SAPHO syndrome on bone scan
'lobster' 🦞
OR
'bull's head ' 🐂
#MedTwitter #RheumTwitter
'lobster' 🦞
OR
'bull's head ' 🐂
#MedTwitter #RheumTwitter
⚕️ how is it treated?
Broadly,
💊Corticosteroids for an initial control of symptoms with
💊cDMARDs/colchicine for peripheral arthritis +- skin:
💉TNFis for Axial symptoms +- skin
Other immunosuppressants, pamidronate etc have been tried!
Broadly,
💊Corticosteroids for an initial control of symptoms with
💊cDMARDs/colchicine for peripheral arthritis +- skin:
💉TNFis for Axial symptoms +- skin
Other immunosuppressants, pamidronate etc have been tried!
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