Autoinflammatory & rare systemic diseases

Treatment and monitoring of synovitis acne pustulosis hyperostosis osteitis (SAPHO) syndrome: a systematic review

RMD OpenPublished Systematic review

Authors' conclusion

No single currently available treatment option sufficiently addresses all SAPHO-associated symptoms.

Study context

Population
Patients with SAPHO syndrome (predominantly European ethnicity) in prospective clinical studies and retrospective case collections with five or more participants28 studies (20 observational, 8 open-label)
Participants
796 patients
Comparison
Non-steroidal anti-inflammatory drugs vs Bisphosphonates vs Conventional disease-modifying antirheumatic drugs vs Biological disease-modifying antirheumatic drugs vs TNF inhibitors vs Tofacitinib
Outcome
Treatments reported
Methodological detailsPRISMA guidance, PubMed, Scopus and Web of Science
  • PRISMA guidance
  • PubMed, Scopus and Web of Science

Pooled result

As reported in the abstract

Safety

Bisphosphonates associated with transient influenza-like symptoms
Paradoxical skin reactions with TNFi
No serious adverse events recorded

Original publication

Treatment and monitoring of SAPHO syndrome: a systematic review. RMD Open. Published 26 December 2023. doi:10.1136/rmdopen-2023-003688

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