Secondary syphilis presenting as SAPHO syndrome features.
The SAPHO syndrome may evolve following low virulent infections. This report describes a patient who developed a clinical syndrome that complied with the formal diagnostic criteria of the SAPHO following an infection with syphilis. His clinical manifestations gradually resolved following antibiotic therapy. This interesting association underlines the pathogenic circumstances linking infections and various rheumatic conditions. It is less evident whether resolution of the symptoms was ascribed to the eradication of the bacteria or perhaps due to cessation of the auto-inflammatory reaction to the infection induced. In our description we suggest a correlation between infection with Treponema pallidum and the induction of SAPHO syndrome.
Arnson
Y
Y
Meir Medical Center, Kefar Saba Israel, affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Rubinow
A
A
Amital
H
H
D020083:Acquired Hyperostosis Syndrome / Q000000981:diagnostic imaging* / Q000382:microbiology*; D000328:Adult; D000993:Antitreponemal Agents / Q000627:therapeutic use; D001842:Bone and Bones / Q000000981:diagnostic imaging / Q000382:microbiology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D011877:Radionuclide Imaging; D013587:Syphilis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy
D000993:Antitreponemal Agents