Conceptos Categóricos

LA TUBERCULOSIS ES UN DIAGNÓSTICO DIFERENCIAL DEL SÍNDROME SAPHO

Se presenta un caso clínico de tuberculosis pulmonar y extrapulmonar cuya presentación clínica fue similar a la del síndrome SAPHO. Se destaca la necesidad de incluir a la tuberculosis como un diagnóstico diferencial de esta afección, en especial en los pacientes procedentes de áreas endémicas.
Autor
Uwe Wollina
Columnista Experto de SIIC
Institución del autor
Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Alemania
Coautores
L Unger* S Wollschläger* M Prinz* T Kittner*   
Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Alemania*

Palabras clave
síndrome SAPHO, pesquisa de tuberculosis, tuberculosis

Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página  http://www.siicsalud.com/dato/casiic.php/119148

Especialidades
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Primera edición
5 de agosto, 2011
Segunda edición, ampliada y corregida
7 de junio, 2021

Bibliografía del caso clínico
1. Chamot AM, Benhamou CL, Kahn MF, et al. Acne-pustulosis-hyperostosis-osteitis syndrome. Results of a national survey. 85 cases. Rev Rhum Mal Osteoartic 1987; 54: 187-96.
2. Sallés M, Olivé A, Perez-Andres R, et al. The SAPHO syndrome: a clinical and imaging study. Clin Rheumatol 2010; in press.
3. Coloe J, Diamantis S, Henderson F, Morrell DS. Synovitis-acne-pustulosis-hyperostosis-osteitis (SAPHO) syndrome complicated by seven pulmonary emboli in a 15-year old patient. J Am Acad Dermatol 2010; 62: 333-6.
4. Clina M, Govoni M, Orzincolo C, Trotta F. Clinical and radiologic evaluation of sinoviti, acne, pustulosis, hyperostosis, and osteitis syndrome: a single center study of a cohort of 71 subjects. Arthritis Rheum 2009; 61: 813-21.
5. Grosjean C, Hurtado-Nedelec M, Nicaise-Roland P, et al. Prevalence of autoantibodies in SAPHO syndrome: a single-center study of 90 patients. J Rheumatol 2010; 37: 639-43.
6. Hurtado-Nemelec M, Chollet-Martin S, Chapeton D, et al. Genetic susceptibility factors in a cohort of 38 patients with SAPHO syndrome: a study of PSTPIP2, NOD2, and LPIN2 genes. J Rheumatol 2010; 37: 401-9.
7. Arnson Y, Rubinow A, Amital H. Secondary syphilis presenting as SAPHO syndrome features. Clin Exp Rheumatol 2008; 26: 1119-21.
8. Hurtado-Nemelec M, Chollet-Martin S, Nicaise-Roland P, et al. Characterization of the immune response in the synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome. Rheumatology (Oxford) 2008; 47: 1160-7.
9. Guglielmi G, Cascavilla A, Scalzo G, et al. Imaging of sternocostoclavicular joint in spondyloarthropathies and other rheumatic conditions. Clin Exp Rheumatol 2009; 27: 402-8.
10. Huber CE, Judex AG, Freyschmidt J, et al. Sequential combination therapy leading to sustained remission in a patient with SAPHO syndrome. Open Rheumatol J 2009; 3: 18-21.
11. Ben Abdelghani K, Dran DG, Gottenberg JE, et al. Tumor necrosis factor-alpha blockers in SAPHO syndrome. J Rheumatol 2010; 37: 1699-704.
12. Khan SA, Zahid M, Asif N, Hassan AS. Tuberculosis of the sternoclavicular joint. Indian J Chest Dis Allied Sci 2002; 44: 271-3.
13. Dhillon MS, Gupta RK, Bahadur R, Nagi ON. Tuberculosis of the sternoclavicular joints. Acta Orthop Scand 2001;72:514-7.
14. Bezza A, Niamane R, Benbouazza K, et al. Tuberculosis of the sternoclavicular joint. Report of two cases. Rev Rhum Engl Ed 1998; 65: 791-4.
15. Shah J, Patkar D, Parikh B, et al. Tuberculosis of the sternum and clavicle: imaging findings in 15 patients. Skeletal Radiol 2000; 29: 447-53.
16. Sonozaki H, Azuma A, Okai K, et al. Clinical features of 22 cases with "inter-sterno-costo-clavicular ossification". A new rheumatic syndrome. Arch Orthop Trauma Surg 1979; 95:13-22.
17. Nakamura J, Yamada K, Mitsugi N, Saito T. A case of SAPHO syndrome with destructive spondylodiscitis suspicious of tuberculous spondylitis. Mod Rheumatol 2010; 20:93-7.
18. Wallis RS. Infectious complications of tumor necrosis factor blockade. Curr Opin Infect Dis 2009; 22: 403-9.
19. Bøhler M, Mustafaa SA, Mørkve O. Tuberculosis treatment outcome and health services: a comparison of displaced and settled population groups in Khartoum, Sudan. Int J Tuberc Lung Dis 2005; 9: 32-6.
Artículos publicados por el autor (selección)
Wollina U Rosacea and rhinophyma in the elderly Clinics Dermatol 29:61-68, 2011

Wollina U, Haroske G Pyoderma gangrenosum Curr Opin Rheumatol 23:50-56, 2011

Hansel G, Schönlebe J, Haroske G, Wollina U Late recurrence (10 years or more) of malignant melanoma in south-east Germany (Saxony). A single-centre analysis of 1,881 patients with a follow-up of 10 years or more J Eur Acad Dermatol Venereol 24:833-836, 2010

Solís D, Maté MJ, Lohr M, Ribeiro J, López-Merino L, André S, Buzament E, Cañada FJ, Kaltner y col. N-Domain of human adhesion/growth-regulatory galectin-9, a monomeric protein with characteristic localization in colon cancer and melanoma: selectivity for ligand conformers/type of cell surface glycoconjugate and detection of ligand-induced structural changes in crystal and in solution Int J Biochem Cell Biol 42:1019-1029, 2010

Verma SB, Wollina U Acne keloidalis nuchae: more than a casual association with metabolic syndrome, truncal obesity and impending/overt diabetes? Am J Clin Dermatol 11:433-436, 2010

Wollina U Pompholyx. A review of clinical features, differential diagnosis and management. Am J Clin Dermatol 11:305-314, 2010

Wollina U Bilateral milia en plaque of the eyelids, long eyelashes and unibrow - case report and review of literature. Dermatol Surg 36:406-408, 2010

Wollina U Ablative erbium:YAG laser treatment of idiopathic chronic inflammatory non-cicatrical balanoposthitis (Zoon's disease) - a series of 20 patients with long-term outcome. J Cosm Laser Ther 12:120-123, 2010

Wollina U Riga-Feede-like disease in a 70-year-old woman - case report and treatment. Indian J Dermatol 55:92-94, 2010

Wollina U, Bayyoud Y Reconstruction of a large scalp defect by sequential use of dermal substitute, self-filling osmotic tissue expander and rotational flap. J Cutan Aesth Surg 3:106-110, 2010

Wollina U, Goldman A, Heinig B Microcannular tumescent liposuction in advanced lipoedema and Dercum's disease. G Ital Dermatol Venereol 145:151-159, 2010

Wollina U, Hansel G, Krönert C, Heinig B Using VAC to facilitate healing of traumatic wounds in patients with chronic lymphoedema. J Wound Care 19:15-17, 2010

Wollina U, Pabst F, Krönert C, Schorcht J, Haroske G, Kittner T High-risk basal cell carcinoma: an update. Expert Rev Dermatol 5:357-368, 2010

Wollina U, Payne CR Aging well - the role of minimally invasive aesthetic dermatological procedures in women over 65. J Cosmet Dermatol 9:50-58, 2010

Wollina U, Unger L, Heinig B, Kittner T Psoriatic arthritis. Dermatol Ther 23:123-136, 2010



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