Chronic Osteomyelitis of the Proximal Femur in SAPHO Syndrome with Avascular Necrosis of the Femoral Head : A Case Report
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概要
- 論文の詳細を見る
SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis) syndrome is relatively rare, that affects anterior chest wall and spine of the skeleton almost exclusively. A 53-year-old patient man presented with palmoplantar pustulosis and left hip pain. Radiographic and magnetic resonance images exhibited an osteolytic lesion demarcated by a thin sclerotic line in the proximal metaphysis of the left femur and avascular necrosis of bilateral femoral heads. Histological and microbiological examination demonstrated that the metaphyseal lesion was sterile chronic osteomyelitis. He was subsequently diagnosed with SAPHO syndrome. As he had a history of excessive ingestion of alcohol and administration of steroid for pustulosis, we speculate that avascular necrosis was not due to osteomyelitis but alcohol or steroid.
- 神戸大学の論文
- 1997-12-26
著者
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MIZUNO Kosaku
Department of Orthopaedic Surgery, Kobe University School of Medicine
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Hirata Soichiro
Faculty of Health Science, Kobe University School of Medicine
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Ishikawa Hitoshi
Faculty of Health Science, Kobe University School of Medicine
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Saura Ryuichi
Faculty of Health Science, Kobe University School of Medicine
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Andoh Yoshihiro
Ishikawa Hospital
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Hirata Soichiro
Faculty Of Health Sciences Kobe University School Of Medicine
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Hirata Soichiro
Faculty Of Health Science Kobe University School Of Medicine
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Ishikawa Hitoshi
Faculty Of Health Sciences Kobe University School Of Medicine
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Andoh Yosihiro
Ishikawa Hospital
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Ishikawa Hitoshi
School Of Allied Medical Sciences Kobe University
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Ishikawa Hitoshi
Faculty Of Health Science Kobe University School Of Medicine
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Mizuno K
Department Of Orthopedic Surgery Kobe University Graduate School Of Medicine
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Mizuno Kosaku
Department Of Orthopaedic Surgery Kobe University School Of Medicine
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Saura Ryuichi
Faculty Of Health Science Kobe University School Of Medicine
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Saura Ryuuichi
Faculty Of Health Science Kobe University School Of Medicine
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Saura Ryuichi
Kobe University School Of Medicine
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Ando Yoshiko
Faculty Of Health Science Kobe University Graduate School Of Medicine
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Hirata Souichirou
Faculty Of Health Science Kobe University School Of Medicine
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Andoh Yosihiro
Department Of Orthopaedic Surgery Ishikawa Hospital
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Ishikawa Hitoshi
Faculty Of Health Science Kobe University
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