Iliac osteosarcoma in a patient with SAPHO syndrome.
Extrathoracic sclerotic bone involvement of SAPHO syndrome are sometimes very difficult to differentiate from a bone infection or bone tumor. The authors report the case of a 46-year-old patient with a history of palmo-plantar pustulosis, recurrent suppurative hidradenitis, and bilateral sternocostal arthropathy who was evaluated for a sclerotic lesion in an iliac wing. The clinical course, computed tomography findings, and histologic features of a surgical biopsy specimen established the diagnosis of osteoblastic osteosarcoma with SAPHO syndrome.
Legrand
E
E
Department of Rheumatology, Angers Teaching Hospital, France.
Audran
M
M
Rousselet-Chapeau
M C
MC
Le Levier
F
F
Brithmer
L
L
Vigouroux
B
B
Pidhorz
L
L
Brégeon
C
C
D015535:Arthritis, Psoriatic / Q000175:diagnosis*; D001859:Bone Neoplasms / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D007085:Ilium; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012516:Osteosarcoma / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed