Skip to main content
Top
Published in: European Spine Journal 10/2008

01-10-2008 | Original Article

SAPHO syndrome associated spondylitis

Authors: Tomoyuki Takigawa, Masato Tanaka, Kazuo Nakanishi, Haruo Misawa, Yoshihisa Sugimoto, Tomohiro Takahata, Hiroyuki Nakahara, Shinnosuke Nakahara, Toshifumi Ozaki

Published in: European Spine Journal | Issue 10/2008

Login to get access

Abstract

The concept of synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome has been well clarified, after Chamot et al. suggested this peculiar disorder in 1987. The most commonly affected site in SAPHO syndrome is the anterior chest, followed by the spine. However, the clinical course and taxonomic concept of SAPHO spinal lesions are poorly understood. This study was performed to analyze: (1) the detailed clinical course of spinal lesions in SAPHO syndrome, and (2) the relationship between SAPHO syndrome with spinal lesions and seronegative spondyloarthropathy. Thirteen patients with spondylitis in SAPHO syndrome were analyzed. The features of spinal lesions were a chronic onset with a slight inflammatory reaction, and slowly progressing non-marginal syndesmophytes at multi spinal levels, besides the coexistence of specific skin lesions. SAPHO syndrome, especially spinal lesions related to palmoplantar pustulosis, can be recognized as a subtype of seronegative spondyloarthropathy.
Literature
2.
go back to reference Amor B, Dougados M, Mijiyawa M (1990) Criteria of the classification of spondylarthropathies. Rev Rhum Mal Osteoartic 57:85–89PubMed Amor B, Dougados M, Mijiyawa M (1990) Criteria of the classification of spondylarthropathies. Rev Rhum Mal Osteoartic 57:85–89PubMed
4.
go back to reference Chamot AM, Benhamou CL, Kahn MF, Beraneck L, Kaplan G, Prost A (1987) Acne-pustulosis-hyperostosis-osteitis syndrome. Results of a national survey. 85 cases. Rev Rhum Mal Osteoartic 54:187–196PubMed Chamot AM, Benhamou CL, Kahn MF, Beraneck L, Kaplan G, Prost A (1987) Acne-pustulosis-hyperostosis-osteitis syndrome. Results of a national survey. 85 cases. Rev Rhum Mal Osteoartic 54:187–196PubMed
6.
go back to reference Dougados M, van der Linden S, Juhlin R, Huitfeldt B, Amor B, Calin A, Cats A, Dijkmans B, Olivieri I, Pasero G et al (1991) The European spondylarthropathy study group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum 34:1218–1227. doi:10.1002/art 1780341003 PubMedCrossRef Dougados M, van der Linden S, Juhlin R, Huitfeldt B, Amor B, Calin A, Cats A, Dijkmans B, Olivieri I, Pasero G et al (1991) The European spondylarthropathy study group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum 34:1218–1227. doi:10.​1002/​art 1780341003 PubMedCrossRef
7.
go back to reference Earwaker JW, Cotten A (2003) SAPHO: syndrome or concept? Imaging findings. Skeletal Radiol 32:311–327PubMed Earwaker JW, Cotten A (2003) SAPHO: syndrome or concept? Imaging findings. Skeletal Radiol 32:311–327PubMed
8.
go back to reference Edlund E, Johnsson U, Lidgren L, Pettersson H, Sturfelt G, Svensson B, Theander J, Willen H (1998) Palmoplantar pustulosis and sternocostoclavicular arthro-osteitis. Ann Rheum Dis 47:809–815CrossRef Edlund E, Johnsson U, Lidgren L, Pettersson H, Sturfelt G, Svensson B, Theander J, Willen H (1998) Palmoplantar pustulosis and sternocostoclavicular arthro-osteitis. Ann Rheum Dis 47:809–815CrossRef
9.
go back to reference Gerster JC, Lagier R, Livio JJ (1990) Propionibacterium acnes in a spondylitis with palmoplantar pustulosis. Ann Rheum Dis 49:337–338PubMedCrossRef Gerster JC, Lagier R, Livio JJ (1990) Propionibacterium acnes in a spondylitis with palmoplantar pustulosis. Ann Rheum Dis 49:337–338PubMedCrossRef
10.
go back to reference Guri J (1946) Pyogenic osteomyelitis of spine. J Bone Joint Surg 28:29–39 Guri J (1946) Pyogenic osteomyelitis of spine. J Bone Joint Surg 28:29–39
13.
go back to reference Hukuda S, Minami M, Saito T, Mitsui H, Matsui N, Komatsubara Y, Makino H, Shibata T, Shingu M, Sakou T, Shichikawa K (2001) Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society. J Rheumatol 28:554–559PubMed Hukuda S, Minami M, Saito T, Mitsui H, Matsui N, Komatsubara Y, Makino H, Shibata T, Shingu M, Sakou T, Shichikawa K (2001) Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society. J Rheumatol 28:554–559PubMed
15.
go back to reference Kahn MF, Bouvier M, Palazzo E, Tebib JG, Colson F (1991) Sternoclavicular pustulotic osteitis (SAPHO). 20-year interval between skin and bone lesions. J Rheumatol 18:1104–1108PubMed Kahn MF, Bouvier M, Palazzo E, Tebib JG, Colson F (1991) Sternoclavicular pustulotic osteitis (SAPHO). 20-year interval between skin and bone lesions. J Rheumatol 18:1104–1108PubMed
16.
go back to reference Khan MA (2003) Clinical features of ankylosing spondylitis. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH (eds) Rheumatology. Mosby, St. Louis, pp 1161–1181 Khan MA (2003) Clinical features of ankylosing spondylitis. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH (eds) Rheumatology. Mosby, St. Louis, pp 1161–1181
17.
go back to reference Kotilainen P, Merilahti-Palo R, Lehtonen OP, Manner I, Helander I, Möttönen T, Rintala E (1996) Propionibacterium acnes isolated from sternal osteitis in a patient with SAPHO syndrome. J Rheumatol 23:1302–1304PubMed Kotilainen P, Merilahti-Palo R, Lehtonen OP, Manner I, Helander I, Möttönen T, Rintala E (1996) Propionibacterium acnes isolated from sternal osteitis in a patient with SAPHO syndrome. J Rheumatol 23:1302–1304PubMed
18.
19.
go back to reference Kulowski J (1936) Pyogenic osteomyelitis of the spine. An analysis and discussion of 102 cases. J Bone Joint Surg 18:343–364 Kulowski J (1936) Pyogenic osteomyelitis of the spine. An analysis and discussion of 102 cases. J Bone Joint Surg 18:343–364
21.
go back to reference Maugars Y, Berthelot JM, Ducloux JM, Prost A (1995) SAPHO syndrome: a followup study of 19 cases with special emphasis on enthesis involvement. J Rheumatol 22:2135–2141PubMed Maugars Y, Berthelot JM, Ducloux JM, Prost A (1995) SAPHO syndrome: a followup study of 19 cases with special emphasis on enthesis involvement. J Rheumatol 22:2135–2141PubMed
22.
go back to reference McEwen C, DiTata D, Lingg C, Porini A, Good A, Rankin T (1971) Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter’s disease. A comparative study. Arthritis Rheum 14:291–318. doi:10.1002/art.1780140302 PubMedCrossRef McEwen C, DiTata D, Lingg C, Porini A, Good A, Rankin T (1971) Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter’s disease. A comparative study. Arthritis Rheum 14:291–318. doi:10.​1002/​art.​1780140302 PubMedCrossRef
23.
24.
go back to reference Sasaki T (1967) A case with osteomyelitis of the bilateral clavicles associated with pustulosis palmaris et plantaris. Rinsho Seikeigega 2:333–337 Sasaki T (1967) A case with osteomyelitis of the bilateral clavicles associated with pustulosis palmaris et plantaris. Rinsho Seikeigega 2:333–337
25.
go back to reference Sonozaki H, Kawashima M, Hongo O, Yaoita H, Ikeno M, Matsuura M, Okai K, Azuma A (1981) Incidence of arthro-osteitis in patients with pustulosis palmaris et plantaris. Ann Rheum Dis 40:554–557PubMedCrossRef Sonozaki H, Kawashima M, Hongo O, Yaoita H, Ikeno M, Matsuura M, Okai K, Azuma A (1981) Incidence of arthro-osteitis in patients with pustulosis palmaris et plantaris. Ann Rheum Dis 40:554–557PubMedCrossRef
26.
go back to reference Sonozaki H, Mitsui H, Miyanaga Y, Okitsu K, Igarashi M, Hayashi Y, Matsuura M, Azuma A, Okai K, Kawashima M (1981) Clinical features of 53 cases with pustulotic arthro-osteitis. Ann Rheum Dis 40:547–553PubMedCrossRef Sonozaki H, Mitsui H, Miyanaga Y, Okitsu K, Igarashi M, Hayashi Y, Matsuura M, Azuma A, Okai K, Kawashima M (1981) Clinical features of 53 cases with pustulotic arthro-osteitis. Ann Rheum Dis 40:547–553PubMedCrossRef
28.
go back to reference Takigawa T, Tanaka M, Nakahara S, Sugimoto Y, Ozaki T (2008), SAPHO syndrome with rapidly progressing destructive spondylitis: two cases treated surgically. Eur Spine J. doi:10.1007/s00586-008-0663-4 Takigawa T, Tanaka M, Nakahara S, Sugimoto Y, Ozaki T (2008), SAPHO syndrome with rapidly progressing destructive spondylitis: two cases treated surgically. Eur Spine J. doi:10.​1007/​s00586-008-0663-4
29.
go back to reference Toussirot E, Dupond JL, Wendling D (1997) Spondylodiscitis in SAPHO syndrome. A series of eight cases. Ann Rheum Dis 56:52–58PubMedCrossRef Toussirot E, Dupond JL, Wendling D (1997) Spondylodiscitis in SAPHO syndrome. A series of eight cases. Ann Rheum Dis 56:52–58PubMedCrossRef
Metadata
Title
SAPHO syndrome associated spondylitis
Authors
Tomoyuki Takigawa
Masato Tanaka
Kazuo Nakanishi
Haruo Misawa
Yoshihisa Sugimoto
Tomohiro Takahata
Hiroyuki Nakahara
Shinnosuke Nakahara
Toshifumi Ozaki
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 10/2008
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-008-0722-x

Other articles of this Issue 10/2008

European Spine Journal 10/2008 Go to the issue

Announcements

Announcements