SAPHO Syndrome: An Unusual Cause of Dysphagia

Case Presentation: This case describes a 51-year-old male who presented to the emergency department with a complaint of two weeks of progressively worsening dysphagia as well as the emergence of superficial fluid collections on the anterior chest and leg during the same period. Computed tomography s...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Megan Hoffer, Michaela Salvo, Sonal Batra
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/23883923254d47a09a13084abea150cd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:23883923254d47a09a13084abea150cd
record_format	dspace
spelling	oai:doaj.org-article:23883923254d47a09a13084abea150cd2021-11-23T20:02:52ZSAPHO Syndrome: An Unusual Cause of Dysphagia2474-252X10.5811/cpcem.2021.6.53001https://doaj.org/article/23883923254d47a09a13084abea150cd2021-11-01T00:00:00Zhttps://escholarship.org/uc/item/4tv9q218https://doaj.org/toc/2474-252XCase Presentation: This case describes a 51-year-old male who presented to the emergency department with a complaint of two weeks of progressively worsening dysphagia as well as the emergence of superficial fluid collections on the anterior chest and leg during the same period. Computed tomography showed retropharyngeal and paratracheal fluid collections with adjacent vertebral osteitis; however, biopsies were negative for any infectious or mycobacterial source, and instead showed chronic inflammatory changes. Discussion: Synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome is a rare rheumatic disorder that presents with multifocal osteitis and sterile neutrophilia. SAPHO syndrome may be easily mistaken for a diffuse infectious process on initial evaluation and imaging; however, it is treated with anti-inflammatory medications, including non-steroidal anti-inflammatory drugs and corticosteroids. Although most patients achieve remission of symptoms with treatment, the location of the fluid collections and resultant bony destruction may be life-threatening if undiagnosed.Megan HofferMichaela SalvoSonal BatraeScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Megan Hoffer Michaela Salvo Sonal Batra SAPHO Syndrome: An Unusual Cause of Dysphagia
description	Case Presentation: This case describes a 51-year-old male who presented to the emergency department with a complaint of two weeks of progressively worsening dysphagia as well as the emergence of superficial fluid collections on the anterior chest and leg during the same period. Computed tomography showed retropharyngeal and paratracheal fluid collections with adjacent vertebral osteitis; however, biopsies were negative for any infectious or mycobacterial source, and instead showed chronic inflammatory changes. Discussion: Synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome is a rare rheumatic disorder that presents with multifocal osteitis and sterile neutrophilia. SAPHO syndrome may be easily mistaken for a diffuse infectious process on initial evaluation and imaging; however, it is treated with anti-inflammatory medications, including non-steroidal anti-inflammatory drugs and corticosteroids. Although most patients achieve remission of symptoms with treatment, the location of the fluid collections and resultant bony destruction may be life-threatening if undiagnosed.
format	article
author	Megan Hoffer Michaela Salvo Sonal Batra
author_facet	Megan Hoffer Michaela Salvo Sonal Batra
author_sort	Megan Hoffer
title	SAPHO Syndrome: An Unusual Cause of Dysphagia
title_short	SAPHO Syndrome: An Unusual Cause of Dysphagia
title_full	SAPHO Syndrome: An Unusual Cause of Dysphagia
title_fullStr	SAPHO Syndrome: An Unusual Cause of Dysphagia
title_full_unstemmed	SAPHO Syndrome: An Unusual Cause of Dysphagia
title_sort	sapho syndrome: an unusual cause of dysphagia
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/23883923254d47a09a13084abea150cd
work_keys_str_mv	AT meganhoffer saphosyndromeanunusualcauseofdysphagia AT michaelasalvo saphosyndromeanunusualcauseofdysphagia AT sonalbatra saphosyndromeanunusualcauseofdysphagia
_version_	1718416082080890880

SAPHO Syndrome: An Unusual Cause of Dysphagia

Ejemplares similares