ABSTRACT
We report two cases, one 23 and one 27 year old man, with several years background of sternal and sternoclavicular joints pain, respectively. The laboratory tests were normal. Based on the clinical, radiologic and scintigraphic findings, SAPHO syndrome was diagnosed. Bone scintigraphy makes it possible to obtain a whole body scan in a single whole body scan, and can be used for differential diagnosis of other osteoarticular diseases and for evolutive control and therapeutic response.
Subject(s)
Acquired Hyperostosis Syndrome/diagnosis , Positron-Emission Tomography , Thoracic Injuries/diagnosis , Tomography, X-Ray Computed , Whole Body Imaging , Accidents, Traffic , Acquired Hyperostosis Syndrome/diagnostic imaging , Adult , Chest Pain/etiology , Clavicle/diagnostic imaging , Diagnosis, Differential , Humans , Male , Osteitis/diagnosis , Osteonecrosis/diagnosis , Sternum/diagnostic imagingABSTRACT
Se presentan los casos de dos pacientes de 23 y 27 años sin antecedentes personales de interés. Como única sintomatología referían dolor esternal y en articulaciones esternoclaviculares, respectivamente, de varios años de evolución. El estudio analítico era normal. Se llegó al diagnóstico de síndrome SAPHO basándose en los hallazgos clínicos, radiológicos y gammagráficos. La gammagrafía ósea permite obtener en una sola exploración imágenes de cuerpo entero y puede emplearse para el diagnóstico diferencial de otros procesos osteoarticulares, así como para el control evolutivo y valoración de la respuesta al tratamiento
We report two cases, one 23 and one 27 year old man, with several years background of sternal and sternoclavicular joints pain, respectively. The laboratory tests were normal. Based on the clinical, radiologic and scintigraphic findings, SAPHO syndrome was diagnosed. Bone scintigraphy makes it possible to obtain a whole body scan in a single whole body scan, and can be used for differential diagnosis of other osteoarticular diseases and for evolutive control and therapeutic response
