SAPHO syndrome: the clinical case
https://doi.org/10.21508/1027-4065-2017-62-5-192-197
Abstract
Syndrome Sapho is a combination of hyperostosis of the sternoclavicular joint with pustulosis of the palms and/or plants, pustular/vulgar psoriasis, or deep acne, which also celebrates spinal cord injury, osteitis and arthritis, including sacroiliitis. As trigger factors, the role of infections, such as Staphylococcus epidermidis, streptococci and viruses, is considered. They are associated with autoimmune post- or parainfectious pathogenesis of the SAPHO syndrome. As with the other seronegative spondyloarthritis important for the pathogenesis of SAPHO syndrome is a factor in hypothermia. Presents a clinical case of the syndrome of Sappho from the group of seronegative spondyloarthritis. Features of the course, the complexity of diagnosis in a particular patient and the possibility of targeted therapy with genetically engineered drugs, are shown.
About the Authors
T. P. MakarovaRussian Federation
N. N. Firsova
Russian Federation
H. M. Vakhitov
Russian Federation
Yu. S. Melnikova
Russian Federation
L. R. Valieva
Russian Federation
O. I. Kuzmina
Russian Federation
References
1. Пузанова О.Г., Таран А.И., Трегуб Л.С. Синдром SAPHO. Внутренняя медицина 2007; 2. [Puzanova O.G., Taran A.I., Tregub L.S. The SAPHO Syndrome. Vnutrennyaya meditsina 2007; 2. (in Russ)]
2. Бадокин В.В. Синдром SAPHO. Научно-практическая ревматология 2004; 3: 61–65. [Badokin V.V. SAPHO syndrome. Nauchno-prakticheskaya revmatologiya 2004; 3: 61–65. (in Russ)]
3. Киласониа Л.О., Гургенидзе И.А., Татошвили К.С. Cлучай диагностики синдрома SAPHO. Georgian Medical News 2001; 80 [Kilasonia L.O., Gurgenidze I.A., Tatishvili K.S., Diagnosis of the syndrome SAPHO Georgian Medical News. 2001; (80). (in Russ)].
4. Клинические рекомендации, утвержденные АРР в 2013г. Федеральные клинические рекомендации по «ревматологии» с дополнениями от 2016 г. http://rheumatolog.ru/experts/klinicheskie-rekomendacii. [Clinical recommendations. Federal clinical guidelines for “rheumatology” with additions from 2016. http://rheumatolog.ru/experts/klinicheskie-rekomendacii (in Russ)]
5. Агабабова Э.Р. Спондилоартриты как объект перспективных научных исследований в ревматологии. Избранные лекции по клинической ревматологии. Под ред. В.А. Насоновой, Н.В. Бунчука. М: Медицина 2001; 74– 82. [Agababova E.R. Spondyloarthritis as an object of promising scientific research in rheumatology. Selected lectures on clinical rheumatology. V.A. Nasonova, N.V. Bunchuk (eds). Moscow: Meditsina 2001; 74–82. (in Russ)]
6. Furst D.E., Breedveld F.C., Kalden J.R, Smolen J.S., Burmester G.R., Bijlsma J.W. et al. Updatedconsensus statement on biological agents, specifically tumor necrosis factor a (TNF-a) blocking agents and interleukin-1 receptor antagonist (IL-1 ra), for the treatment of rheumatic diseases, 2004. Ann Rheum Dis 2004; 63 (Suppl II): 2–12. DOI: 10.1136/ard.2004.029272
Review
For citations:
Makarova T.P., Firsova N.N., Vakhitov H.M., Melnikova Yu.S., Valieva L.R., Kuzmina O.I. SAPHO syndrome: the clinical case. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2017;62(5):192-197. (In Russ.) https://doi.org/10.21508/1027-4065-2017-62-5-192-197