Document Detail

Osteitis--an under-recognised association with seronegative spondyloarthropathy?
MedLine Citation:
PMID:  9451408     Owner:  NLM     Status:  MEDLINE    
AIM: To emphasise osteitis as a feature of the spondyloarthritides. METHOD: We describe four cases spanning a spectrum of the spondyloarthritides in which osteitis was a feature. RESULTS: One patient had psoriatic arthritis with palmar-plantar pustular psoriasis and extensive osteitis involving the tibia and fibula. This case provides a link with two cases with SAPHO syndrome (synovitis, acne, pustulosis hyperostosis, osteitis) who had palmar-plantar pustulosis and osteitis. Many now argue that this syndrome is a form of spondyloarthritis. The fourth case, which was of particular interest to us, had enteric reactive arthritis and scintigraphic changes strongly suggesting the presence of osteitis of individual bones in the wrist. CONCLUSION: We propose that these four cases demonstrate that osteitis may be another feature common to the spondyloarthritides and SAPHO. Awareness of this may facilitate better documentation of this feature of the disease.
S Stebbings; J Highton; T C Doyle; A K Jeffery
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The New Zealand medical journal     Volume:  110     ISSN:  0028-8446     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-02-12     Completed Date:  1998-02-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  455-9     Citation Subset:  IM    
Department of Medicine, Dunedin School of Medicine.
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MeSH Terms
Diagnosis, Differential
Middle Aged
Osteitis / etiology*
Spondylitis / complications*,  diagnosis*,  radiography,  radionuclide imaging
Tomography, X-Ray Computed

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