Arch Hand Microsurg 2019; 24(4): 351-357  
A Case of SAPHO Syndrome with Hyperostosis of the Ulna
Jung Yun Bae1, Sang Hyun Lee2, Hyun Chang Ko3, Chankue Park4, Sang Woo Kang1, Sang Ho Kwak1
1Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea
2Department of Orthopedic Surgery, Pusan National University Hospital, Busan, Korea
Departments of 3Dermatology and 4Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea
Correspondence to: Sang Ho Kwak
Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Korea
TEL: +82-55-360-2503, FAX: +82-55-360-2155, E-mail: shkwak2013@gmail.com, ORCID: https://orcid.org/0000-0002-5634-5716
Received: March 26, 2019; Revised: August 23, 2019; Accepted: September 1, 2019; Published online: December 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
SAPHO syndrome is a rare disease comprising of synovitis, acne, pustulosis, hyperostosis, and osteitis and osteoarticular manifestations usually involve anterior chest wall, spine, or pelvis. Among these features, hyperostosis of long bone was rarely reported on the upper extremity. The present case is about a 49-year-old male with painful hyperostosis of his ulna, diagnosed with SAPHO syndrome. The diagnostic process and the progress after two years are described.
Keywords: SAPHO syndrome, Hyperostosis, Ulna


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