title: [An infrequent presentation of SAPHO syndrome].
abstract: We describe a case of SAPHO (synovitis, acne, pustulosis, hyperostosis and osteitis) with an unusual presentation in a 14 year-old girl with low grade fever which lasts 8 months, left low back pain and elevated erythrocyte sedimentation rates and protein C-reactive with chronic anaemia. A radiograhy of the lower limbs showed a lytic image with osteitis and hyperostose in the right fibula, as a casual finding. This information, in addition to the acne, pustulosis, sternoclavicular arthritis and the studies got from the magnetic resonance image (MR) of spine, pointed out the diagnosis of SAPHO.
authors.affiliation: Servicio de Reumatología Pediátrica. Hospital Severo Ochoa. Leganés. Madrid. España.
authors.forename: Miriam
authors.initials: M
authors.lastname: Centeno Jiménez
authors.forename: Rafael
authors.initials: R
authors.lastname: Díaz-Delgado Peñas
authors.forename: Cristina
authors.initials: C
authors.lastname: Calvo Rey
authors.forename: Paz
authors.initials: P
authors.lastname: Collado