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© 1993 British Society for Rheumatology

review-article

ARTHRO-OSTEITIS—A CLINICAL SPECTRUM

R. A. WATTS, A. J. CRISP, B. L. HAZLEMAN, S. O'N. DAUNT* and J. R. JENNER

Rheumatology Research Unit and Department of Rheumatology Addenbrooke's Hospital, Cambridge
*Department of Rheumatology Colchester General Hospital, Essex

Correspondence to: Correspondence to R. A. Watts, Rheumatology Research Unit, Unit E6, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ

Arthro-osteitis is an uncommon condition which can be associated with palmoplantar pustulosis. It forms part of a group of conditions which include the synovitis, acne, pustulosis, hyperostosis, osteitis syndrome (SAPHO) and sternocostoclavic-ular hyperostosis. We report four cases illustrating the clinical spectrum of this condition which occurred in the absence of concomitant skin lesions. One patient had extensive aortic calcification a feature not previously reported in this condition, which may represent a low grade inflammatory aortitis.

KEY WORDS: Sternocostoclavicular hyperostosis, SAPHO syndrome, Osteitis, Aortic calcification, Palmoplantar pustulosis


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