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- W4281298624 abstract "A 39-year-old male presented with pain in the right fingers for three years. The symptom was intermittently relieved by NSAIDs. Two years ago, he developed anterior chest pain and severe acne on the scalp. On examination, both index fingers were mildly swollen with limited range of motion. X-ray of the hands showed osteolysis and cortical irregularity of the interphalangeal joints of the bilateral index fingers and left middle finger (Fig. 1A). MRI of the right hand revealed marrow oedema of the proximal and distal phalanges of the index finger (Fig. 1B). 99mTc-MDP bone scintigraphy indicated increased tracer uptake in the bilateral sternoclavicular and first sternocostal joints, left ulna, left femur and multiple phalanges of the hands (Fig. 1C). The patient was diagnosed with synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome. Tofacitinib was initiated, leading to a remarkable symptom improvement. SAPHO syndrome mainly..." @default.
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- W4281298624 date "2022-05-23" @default.
- W4281298624 modified "2023-10-16" @default.
- W4281298624 title "Phalangeal involvement as an initial presentation in SAPHO syndrome" @default.
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- W4281298624 doi "https://doi.org/10.1093/rheumatology/keac310" @default.
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