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"SAPHO SYNDROME"

“ Rare combination of synovitis, acne, palmoplantar pustulosis, hyperostosis and osteitis/osteomyelitis . There may be a delay of several ye...

Rare combination of synovitis, acne, palmoplantar pustulosis, hyperostosis and osteitis/osteomyelitis. There may be a delay of several years between the onset of osseous symptoms and cutaneous manifestations. Similar to chronic, recurrent multifocal osteomyelitis in children.
PLAIN FILM

•  Dominant feature is new and bizarre bone proliferation.
•  The sternoclavicular joint is affected most commonly (70%-90%), then flat bones, then medial clavicles.

BONE SCAN

•  Buffalo sign caused by increased activity in the manubrium sternum and medial clavicles.