Rev Esp Med Nucl 2000 Dec;19(7):491-4
[SAPHO syndrome. Scintigraphic and radiologic findings]
Martinez Gimeno E, Yano Asso C, Bonilla Arjona A, Gonzalez Diaz A, Gomez Rodriguez Bethencourt MA, Diaz Ramirez A, Uruburu Garcia E, Alarco Hernandez R.
Servicio de Medicina Nuclear.
We present the case of a 39 year old woman with a several year long history of palmoplantar pustulosis and occasional pain in the anterior wall of the thorax, lumbar spine and both sacroiliac joints. As a consequence of low grade fever, severe sternoclavicular pain and discomfort and swelling in the first left rib arches, the patient was admitted to hospital. Based on the clinical, radiologic, scintigraphic and cutaneous findings, the SAPHO syndrome was diagnosed. Bone scintigraphy is an accurate and early diagnostic test for this syndrome which also provides the advantage of being able to obtain a whole body scan.