Gingival pustules and sterile diffuse sclerosing osteomyelitis as a feature of synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome

Synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome represents the rare co-occurrence of sterile inflammatory osteoarticular disease in association with a variety of cutaneous manifestations. Oral involvement is uncommon. The etiology of SAPHO is complex and is likely the combined r...

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Bibliographic Details
Published in:	Oral surgery, oral medicine, oral pathology and oral radiology oral medicine, oral pathology and oral radiology, 2016-05, Vol.121 (5), p.e116-e122
Main Authors:	Chou, Annie, DDS, Schulman, Joshua M., MD, Gross, Andrew J., MD, Jordan, Richard C., DDS, PhD, Ramos, Daniel M., DDS, PhD
Format:	Article
Language:	eng
Subjects:	Acquired Hyperostosis Syndrome - diagnosis Acquired Hyperostosis Syndrome - drug therapy Adalimumab - therapeutic use Aged Anti-Inflammatory Agents - therapeutic use Biopsy Dentistry Diagnosis, Differential Diagnostic Imaging Gingival Diseases - diagnosis Gingival Diseases - drug therapy Humans Male Osteomyelitis - diagnosis Osteomyelitis - drug therapy Recurrence Surgery
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Summary:	Synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome represents the rare co-occurrence of sterile inflammatory osteoarticular disease in association with a variety of cutaneous manifestations. Oral involvement is uncommon. The etiology of SAPHO is complex and is likely the combined result of infectious, genetic, and immunologic factors. Due to diverse clinical presentations, SAPHO is difficult to diagnose. Here, we describe the case of a 74-year-old man, who had a history of SAPHO syndrome and presented with gingival pustules and sterile diffuse sclerosing osteomyelitis of the mandible. This is the first case report describing neutrophilic mucositis as a feature of SAPHO.
ISSN:	2212-4403 2212-4411