Autoinflammatory & rare systemic diseases

The comparison of clinical and pathological features between patients of synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome with different microbiological findings in bone biopsy

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

NGS and bacterial culture expand the variety of detectable bacteria and improve the detection rate of bacteria in SAPHO syndrome.

Study context

Population
Patients diagnosed with SAPHO syndrome undergoing CT-guided percutaneous bone punctureSAPHO syndrome
Participants
34 patients
Exposure
Bacteria-positive vs bacteria-negative SAPHO syndrome; SAPHO syndrome vs infectious suppurative osteomyelitis (pathology)
  • Infectious suppurative osteomyelitisn = 32
Outcome
Bacterial positive rate in bone biopsy
Methodological detailsCT-guided percutaneous bone biopsy, next-generation sequencing (NGS) and microbiological culture
  • CT-guided percutaneous bone biopsy
  • NGS and microbiological culture

Main finding

As reported in the abstract

Positive rate of bacteria by NGS and by bacterial culture, respectively

41.2%

Observational data: associations, not effects.

Further findings

Clinical symptoms, biochemical markers, imaging and pathological findings

Differences not statistically significant between bacteria-positive and bacteria-negative groups

Pathology: SAPHO syndrome vs infectious suppurative osteomyelitis

SAPHO syndrome had less inflammatory cell infiltration and increased granulation tissue formation

Original publication

The comparison of clinical and pathological features between patients of SAPHO syndrome with different microbiological findings in bone biopsy. Clin Exp Rheumatol. Published 18 July 2024. doi:10.55563/clinexprheumatol/ih2d0a

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