Diffuse sclerosing osteomyelitis (DSO) of the mandible in SAPHO syndrome: A novel approach with anti-TNF therapy. Systematic review

被引:34
作者
Mari, Antonio [1 ,3 ]
Morla, Arnaud [1 ,3 ]
Melero, Mireia [1 ,3 ]
Schiavone, Rocio [3 ]
Rodriguez, Jesus [2 ]
机构
[1] Univ Hosp Bellvitge HUB, Dept Oral & Maxillofacial Surg, Barcelona 08907, Spain
[2] Univ Hosp Bellvitge HUB, Dept Rheumatol, Barcelona 08907, Spain
[3] Univ Barcelona, Barcelona 08907, Spain
关键词
Diffuse sclerosing osteomyelitis; SHAPO syndrome; Anti-TNF; TERM-FOLLOW-UP; OF-THE-LITERATURE; OSTEITIS SAPHO; PSORIATIC-ARTHRITIS; TEMPOROMANDIBULAR-JOINT; ANKYLOSING-SPONDYLITIS; MULTIFOCAL OSTEOMYELITIS; INFLIXIMAB THERAPY; CONTROLLED TRIAL; DOUBLE-BLIND;
D O I
10.1016/j.jcms.2014.09.004
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Diffuse sclerosing osteomyelitis of the mandible is now considered a local manifestation of SAPHO syndrome. This rare condition is thought to be of auto-inflammatory origin. The myriad of treatments shown in the literature, are basically empirical and reflect its unknown origin. We present a clinical case of refractory DSO treated with an anti-TNF drug (etanercept) with complete clinical remission. We advise against radical surgery and an interdisciplinary approach is recommended. A systematic literature review was also conducted. (C) 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:1990 / 1996
页数:7
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