Heart failure complicating with SAPHO syndrome

Nishimura, Takeshi; Kikuta, Shota; Ishihara, Satoshi; Nakayama, Shinichi

doi:10.1136/bcr-2016-218605

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Infection is a common cause of heart failure, and Propionibacterium acnes has been implicated in the pathogenesis of SAPHO syndrome. 33 All in all, according to current research, articular and cutaneous manifestations are the primary clinical features of SAPHO syndrome. Although recent clinical discoveries have revealed the possibility of multisystemic manifestations in SAPHO syndrome, it remains elusive to determine the underlying precise mechanism of the diverse clinical manifestations of SAPHO syndrome.…”

Section: Heartmentioning

confidence: 98%

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Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome may present with extra‐articular and cutaneous manifestations

Zhang,

Zheng,

et al. 2024

Int J of Rheum Dis

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Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome may present with extra-articular and cutaneous manifestationsSAPHO syndrome is a rare autoinflammatory disease that manifests with articular and cutaneous symptoms. Although epidemiological data on SAPHO are limited, the annual incidence of the disease is estimated to be 1 in 10 000 in Caucasians and 0.00144 in 10 000 in Japanese. 1 The precise pathogenesis of SAPHO syndrome remains elusive, but it is hypothesized to have a genetic basis, linked to underlying infections and immune dysfunction.SAPHO syndrome is commonly recognized as a distinct pathological condition by researchers. However, some researchers have suggested that SAPHO syndrome can be classified as a form of spondyloarthritis, a potential transitional stage between ankylosing spondylitis (AS) and psoriatic arthritis. 2,3 Both SAPHO syndrome and spinal arthritis affect the axial and sacroiliac joints in a similar manner, exhibiting shared characteristics and even instances of co-occurrence. 4,5 SAPHO syndrome may be associated with the HLA-B27 gene. 2 Patients with AS have multisystemic damage such as the heart, lungs, kidneys, eyes, intestines, skin, and bones through the support of a large number of data. 6Common extra-articular manifestations in AS include uveitis, inflammatory bowel disease, and psoriasis. These symptoms are also found in SAPHO syndrome in addition to the articular and cutaneous manifestations.

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Section: Heartmentioning

confidence: 98%

“…One case of SAPHO syndrome with acute heart failure has been reported. Infection is a common cause of heart failure, and Propionibacterium acnes has been implicated in the pathogenesis of SAPHO syndrome 33 …”

Section: Extra‐articular and Cutaneous Manifestationsmentioning

confidence: 99%

Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome may present with extra‐articular and cutaneous manifestations

Zhang,

Zheng,

et al. 2024

Int J of Rheum Dis

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Cardiovascular disease in patients with autoinflammatory syndromes

et al. 2017

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Autoinflammatory syndromes (AIS) are characterized by recurring events of inflammation, leading to a variety of organ manifestations and fever attacks. A subgroup of AIS is commonly referred to as hereditary periodic fever syndromes (HPFS). There is substantial evidence that autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus are strongly associated with cardiovascular morbidity and mortality. The link between AIS and cardiovascular disease is not that clear, even if the concept of continuous inflammation as a risk factor for cardiovascular disease is widely accepted. Research on the association of AIS and cardiovascular disease is increasing within the last years. In this review, we will discuss the association of several AIS with cardiovascular disease. Based on the rarity of some entities, lack of data, however, led to exclusion of some rare AIS. Especially, for Behcet's disease (BD), adult-onset Still's disease (AOSD), and Familial Mediterranean fever (FMF), there is an association with a number of cardiovascular abnormalities. BD is the AIS, which is most strongly associated with manifestation in the arterial and venous system. AOSD is strongly associated with cardiac inflammation (peri-/myocarditis). FMF patients are likely to suffer from serositis. Of note, there seems to be a link between variants of AOSD as well as FMF and idiopathic recurrent acute pericarditis.

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Similarities and Differences between Clavicular Bacterial Osteomyelitis and Nonbacterial Osteitis: Comparisons of 327 Reported Cases

Jiang

Zhang

et al. 2021

Journal of Immunology Research

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Background. Currently, both clavicular bacterial osteomyelitis (BO) and nonbacterial osteitis (NBO) remain not well understood owing to their much lower incidences. This study is aimed at summarizing similarities and differences between clavicular BO and NBO based on comparisons of literature-reported cases. Methods. We searched the PubMed and Embase databases to identify English published literature between January 1st, 1980, and December 31st, 2018. Inclusion criteria were studies evaluating clinical features, diagnosis, and treatment of clavicular BO and NBO, with eligible data for synthesis analysis. Results. Altogether, 129 studies with 327 patients were included. Compared with BO, clavicular NBO favored females ( P < 0.001 ) and age below 20 years ( P < 0.001 ) and mostly presented in a chronic phase (disease term exceeding 2 months) ( P < 0.001 ). Although local pain and swelling were the top two symptoms for both disorders, fever, erythema, and a sinus tract were more frequently found in BO patients ( P < 0.01 ). Although they both favored the medial side, lesions in the clavicular lateral side mostly occurred in BO patients ( P = 0.002 ). However, no significant differences were identified regarding the serological levels of white blood cell count ( P = 0.06 ), erythrocyte sedimentation rate ( P = 0.27 ), or C-reactive protein ( P = 0.33 ) between BO and NBO patients before therapy. Overall, the BO patients achieved a statistically higher cure rate than that of the NBO patients ( P = 0.018 ). Conclusions. Females, age below 20 years, and a long duration of clavicular pain and swelling may imply NBO. While the occurrence of a sinus tract and lesions in the lateral side may be clues of BO, inflammatory biomarkers revealed limited values for differential diagnosis. BO patients could achieve a better efficacy than the NBO patients based on current evidence.

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Heart failure complicating with SAPHO syndrome

Cited by 3 publications

References 9 publications

Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome may present with extra‐articular and cutaneous manifestations

Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome may present with extra‐articular and cutaneous manifestations

Cardiovascular disease in patients with autoinflammatory syndromes

Similarities and Differences between Clavicular Bacterial Osteomyelitis and Nonbacterial Osteitis: Comparisons of 327 Reported Cases

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