表现为胸壁占位的滑膜炎-痤疮-脓疱病-骨肥厚-骨炎综合征1例  

Synovitis,acne,pustulosis,hyperostosis,and osteitis(SAPHO)syndrome manifested as a mass on the chest wall:a case report

作　　者：钱夏婷 彭雅丽 田亚琼[1] 苏婷 程乐[3] 姜波[4] 马立文 孟凡青[6] 肖永龙[1] 李燕[1] Qian Xiating;Peng Yali;Tian Yaqiong;Su Ting;Cheng Le;Jiang Bo;Ma Liwen;Meng Fanqing;Xiao Yonglong;Li Yan(Departments of Pulmonary and Critical Care Medicine,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Intensive Care Medicine,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing,210008,China;Departments of Medical Imaging,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Departments of Rheumatology Immunology,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Departments of Dermatology,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Departments of Pathology,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院呼吸与危重症医学科,南京210008 [2]南京大学医学院附属鼓楼医院重症医学科,南京210008 [3]南京大学医学院附属鼓楼医院医学影像科,南京210008 [4]南京大学医学院附属鼓楼医院风湿免疫科,南京210008 [5]南京大学医学院附属鼓楼医院皮肤科,南京210008 [6]南京大学医学院附属鼓楼医院病理科,南京210008

出　　处：《中华结核和呼吸杂志》2024年第11期1109-1112,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：滑膜炎-痤疮-脓疱病-骨肥厚-骨炎综合征(SAPHO综合征)是一种罕见疾病,主要影响骨关节和皮肤。本文报道1例中年女性患者,其主要临床表现是右侧胸壁占位,由于患者多见于皮肤科和骨科,呼吸科对本病认识不足,患者多次就诊均未能明确诊断。本文报道该病例的诊治经过,最终确诊为SAPHO综合征,并总结该病的临床特点,旨在提高呼吸专科医生对该病的诊断水平,减少误诊和漏诊。Synovitis,acne,pustulosis,hyperostosis,and osteitis(SAPHO)syndrome is a rare disorder characterized by a variety of osseous and cutaneous symptoms.We presented a case of a middle-aged female presenting with a mass on the right chest wall.Respiratory specialists were unfamiliar with the condition and were unable to make a definitive diagnosis.The case outlined the diagnostic and treatment process and summarized the clinical characteristics of the syndrome,with the aiming of improving the diagnostic skills of respiratory specialists and reducing cases of missed diagnosis and misdiagnosis.

关 键 词：专科医生 呼吸科 骨肥厚 罕见疾病 滑膜炎 骨炎 胸壁 脓疱病 

分 类 号：R597[医药卫生—内科学]