Contribution of Bone Scintigraphy in the Diagnosis of a Case of SAPHO in the Nuclear Medicine Department of Idrissa Pouye General Hospital (Dakar, Senegal)

Bathily, El Hadji Amadou Lamine and Gueye, Kalidou and Badiane, Serigne Moussa and Djigo, Mamoudou Salif and Thiaw, Gora and Diop, Ousseynou and Fachinan, Olatounde Herbert and Sy, Papa Mady and Djiboune, Alfonse Rodrigue and Adambounou, Kokou Fofo Toussaint and Diouf, Louis Augustin Diaga and Ndong, Boucar and Mbaye, Gora and Ndoye, Omar and Diarra, Mounibé and Mbodj, Mamadou (2024) Contribution of Bone Scintigraphy in the Diagnosis of a Case of SAPHO in the Nuclear Medicine Department of Idrissa Pouye General Hospital (Dakar, Senegal). Open Journal of Medical Imaging, 14 (01). pp. 1-9. ISSN 2164-2788

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Abstract

Introduction: The acronym SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis) is a syndrome combining osteoarticular and cutaneous manifestations. It occurs mainly between the ages of 30 and 50. Sternocostoclavicular hyperostosis is one of the main distinguishing features. We report a case of SAPHO in Dakar diagnosed by bone scintigraphy. Observation: 28-year-old Senegalese women presented with left shoulder pain and relative functional impotence for over 2 years. Examination revealed right sternoclavicular hyperostosis and left shoulder pain on palpation. Questioning revealed a history of acne and hyperostosis of the right first toe. Bone scintigraphy, performed after injection of 630 MBq of 99mTc-HMDP, revealed: hyperfixation of the bilateral (right++) manubrio-sternal and sternoclavicular junction, producing the classic bull’s horn image; hyperfixation of the left shoulder with an inflammatory appearance; hyperfixation of the sacroiliac joints suggestive of bilateral sacroiliitis; hyperfixation of the right first toe; two mandibular hyper fixations probably related to dental damage. This scintigraphic appearance in one was strongly suggestive of SAPHO syndrome. Conclusion: SAPHO syndrome, related to spondyloarthropathy, associates cutaneous and osteoarticular signs. It is characterized by frequent delays in diagnosis due to poor recognition. Soy is an invaluable diagnostic tool, enabling us to assess the extent of the disease and its evolution.

Item Type: Article
Subjects: Science Global Plos > Multidisciplinary
Depositing User: Unnamed user with email support@science.globalplos.com
Date Deposited: 05 Feb 2024 06:48
Last Modified: 05 Feb 2024 06:48
URI: http://ebooks.manu2sent.com/id/eprint/2475

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