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SAPHO:放射科医生应该知道的。

SAPHO: What radiologists should know.

机构信息

Radiology Department, Robert Jones and Agnes Hunt Orthopaedic and District Hospitals NHS Trust, Gobowen, Oswestry, Shropshire, UK.

出版信息

Clin Radiol. 2012 Mar;67(3):195-206. doi: 10.1016/j.crad.2011.08.014. Epub 2011 Sep 21.

DOI:10.1016/j.crad.2011.08.014
PMID:21939963
Abstract

SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis) is an umbrella acronym for inflammatory clinical conditions whose common denominator is aseptic osteoarticular involvement with characteristic skin lesions. It involves all ages, can involve any skeletal site, and has variable imaging appearances depending on the stage/age of the lesion and imaging method. It mimics important differentials including infection and neoplasia. Awareness of the imaging features, especially in the spine, facilitates early diagnosis, prevents repeated biopsies, and avoids unnecessary surgery, while initiating appropriate treatment.

摘要

SAPHO(滑膜炎、痤疮、脓疱病、骨肥厚和骨炎)是一种炎症性临床疾病的总称,其共同特征是无菌性骨关节炎累及特征性皮肤病变。它可发生于所有年龄段,可累及任何骨骼部位,且其影像学表现具有多变性,取决于病变的阶段/年龄和影像学方法。它类似于包括感染和肿瘤在内的重要鉴别诊断。了解影像学特征,特别是在脊柱方面,有助于早期诊断,防止反复活检和避免不必要的手术,同时启动适当的治疗。

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SAPHO: What radiologists should know.SAPHO:放射科医生应该知道的。
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2
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引用本文的文献

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[SAPHO-Synovitis, acne, pustulosis, hyperosteosis, osteitis].[滑膜炎、痤疮、脓疱病、骨肥厚、骨炎综合征]
Radiologie (Heidelb). 2025 Sep;65(9):681-687. doi: 10.1007/s00117-025-01487-1. Epub 2025 Jul 22.
2
Machine learning based differential diagnosis of SAPHO syndrome and secondary bone tumors using whole body bone scintigraphy.基于机器学习利用全身骨闪烁显像对SAPHO综合征和继发性骨肿瘤进行鉴别诊断
Sci Rep. 2025 May 28;15(1):18651. doi: 10.1038/s41598-025-99690-6.
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Diagnostic imaging confusion in infectious spondylitis.感染性脊柱炎的诊断性影像学混淆
J Orthop Surg Res. 2025 May 21;20(1):496. doi: 10.1186/s13018-025-05781-5.
4
Usefulness of the Automated Bone Scan Index in Arthritis: A Quantitative Approach for Evaluating Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome.自动骨扫描指数在关节炎中的应用:一种评估滑膜炎、痤疮、脓疱病、骨肥厚和骨炎(SAPHO)综合征的定量方法
Nucl Med Mol Imaging. 2025 Apr;59(2):147-153. doi: 10.1007/s13139-024-00883-0. Epub 2024 Sep 19.
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What Is New and What Is Next for SAPHO Syndrome Management: A Narrative Review.SAPHO综合征管理的新进展与未来方向:一篇叙述性综述
J Clin Med. 2025 Feb 18;14(4):1366. doi: 10.3390/jcm14041366.
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Enteropathic SAPHO Syndrome in Ulcerative Colitis Responsive to Bisphosphonates.对双膦酸盐有反应的溃疡性结肠炎中的肠病性SAPHO综合征。
Case Rep Rheumatol. 2024 Oct 16;2024:3558853. doi: 10.1155/2024/3558853. eCollection 2024.
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Monozygotic twins affected by SAPHO syndrome.受SAPHO综合征影响的单卵双胞胎。
An Bras Dermatol. 2025 Jan-Feb;100(1):183-185. doi: 10.1016/j.abd.2024.03.008. Epub 2024 Oct 31.
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Current and future advances in practice: SAPHO syndrome and chronic non-bacterial osteitis (CNO).当前及未来的实践进展:滑膜炎、痤疮、脓疱病、骨肥厚、骨炎综合征(SAPHO综合征)与慢性非细菌性骨炎(CNO)
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Case report: Inflammatory sternoclavicular joint arthritis induced by an immune checkpoint inhibitor with remarkable responsiveness to infliximab.病例报告:免疫检查点抑制剂引起的炎症性胸锁关节炎,对英夫利昔单抗有显著反应。
Front Immunol. 2024 May 10;15:1400097. doi: 10.3389/fimmu.2024.1400097. eCollection 2024.
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F-Sodium fluoride PET-CT visualizes disease activity in chronic nonbacterial osteitis in adults.氟-氟化钠正电子发射断层扫描-计算机断层扫描(F-Sodium fluoride PET-CT)可显示成人慢性非细菌性骨炎中的疾病活动情况。
JBMR Plus. 2024 Jan 4;8(2):ziad007. doi: 10.1093/jbmrpl/ziad007. eCollection 2024 Feb.