AI Article Synopsis
- SAPHO syndrome is a condition that features a combination of skin, joint, and bone inflammation, with rare cases of laryngeal mobility issues.
- A 53-year-old patient experienced difficulty breathing over two years, leading to tracheotomy after ruling out other causes, and finally linking the symptoms to SAPHO syndrome.
- Treatment with corticosteroids and infliximab improved the patient's condition, highlighting the need to recognize potential cricoarytenoid joint involvement in SAPHO syndrome.
Article Abstract
Introduction: Synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) is a syndrome that combines dermatological, articular and osseous inflammatory manifestations. Bilateral laryngeal immobility relative to cricoarytenoid joint origin is very uncommon. This article presents a case of bilateral cricoarytenoid joint ankylosis in a SAPHO syndrome context.
Case Report: A 53-year-old patient presenting with a two year history of intermittent bouts of dyspnea. A SAPHO syndrome was discussed on repeated thoracic CT-scan. The link between dyspnea and SAPHO syndrome had not been made immediately given the absence of any known anteriority. However, having ruled out other etiologies and after having had to perform a tracheotomy due a worsening of the respiratory condition, this diagnosis was considered. Treatment by corticosteroids and infliximab permitted a clinical improvement of the patient.
Conclusion: This clinical case report should increase awareness of possible cricoarytenoid joint involvement in SAPHO.
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| http://dx.doi.org/10.1016/j.revmed.2017.02.005 | DOI Listing |
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