扁桃体切除术后SAPHO患者骨痛、皮疹症状改善

基础医学与临床 ›› 2020, Vol. 40 ›› Issue (12): 1671-1676.

扁桃体切除术后SAPHO患者骨痛、皮疹症状改善

王轶¹, 向奕蓉², 李忱^3*, 张文², 高志强¹

1.中国医学科学院北京协和医学院北京协和医院耳鼻喉科;
2.中国医学科学院北京协和医学院北京协和医院风湿免疫科;
3.中国医学科学院北京协和医学院北京协和医院中医科, 北京 100730

收稿日期:2020-08-18 修回日期:2020-10-26 出版日期:2020-12-05 发布日期:2020-11-30
通讯作者: ^* casio1981@163.com
基金资助:
国家重点研发计划项目(2016YFC0901500);中国医学科学院医学与健康科技创新工程基金资助项目(2017-12N-3-001);首都卫生科研专项基金资助项目(2016-4-40112)

Alleviation of skin lesions and bone pain in patients with SAPHO after tonsillectomy

WANG Yi¹, XIANG Yi-rong², LI Chen^3*, ZHANG Wen², GAO Zhi-qiang¹

1. Department of Otorhinolaryngology;
2. Department of Rheumatology & Immunology;
3. Department of Traditional Chinese Medicine, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China

Received:2020-08-18 Revised:2020-10-26 Online:2020-12-05 Published:2020-11-30
Contact: ^* casio1981@163.com

摘要/Abstract

摘要： 目的观察难治性滑膜炎痤疮脓疱病骨肥厚骨髓炎(SAPHO)患者扁桃体切除术后皮疹、骨痛变化。方法记录术前、术后1、3、6、9、12个月、＞12个月、＞24个月、＞48个月皮疹、骨痛情况。结果 44例患者术后皮疹和骨痛显著改善。术后1个月皮疹、骨痛消失率分别为10%和28%,术后12个月分别为62%和77%。结论扁桃体切除术明显改善SAPHO患者的骨痛和皮损,扁桃体切除术可作为SAPHO、特别是难治性SAPHO患者的治疗方法之一。扁桃体炎可能与SAPHO发病相关。

关键词: SAPHO, 扁桃体切除术, 掌跖脓疱病, 骨痛, 效果

Abstract: Objective To evaluate the clinical efficacy of tonsillectomy on skin lesions and bone pain in patients with synovitis-acne-pustulosis-hyperostosis-osteitis (SAPHO). Methods Patients with SAPHO who were refractory to conservative treatment and then received tonsillectomy were recruited. The skin lesions were evaluated using palmoplantar pustulosis area and severity index (PPPASI) scoring. The pain was evaluated by the visual analog score (VAS). The scores of PPPASI and VAS at various follow-ups were recorded. Results Forty-four patients (36 women and 8 men) with a median age of 37.3 years were enrolled. One month after tonsillectomy, skin lesions and bone pain disappeared in 10% and 28% respectively. The disappearance rates 12-month post-op, were 62% and 77% respectively. Conclusions Tonsillectomy exhibits inhibition to skin lesions and bone pain in the patients with SAPHO. Tonsillectomy is a potential alternative treatment for the refractory cases.

Key words: SAPHO, tonsillectomy, palmoplantar pustulosis, bone pain, efficacy

中图分类号:

R593.9

王轶, 向奕蓉, 李忱, 张文, 高志强. 扁桃体切除术后SAPHO患者骨痛、皮疹症状改善[J]. 基础医学与临床, 2020, 40(12): 1671-1676.

WANG Yi, XIANG Yi-rong, LI Chen, ZHANG Wen, GAO Zhi-qiang. Alleviation of skin lesions and bone pain in patients with SAPHO after tonsillectomy[J]. Basic & Clinical Medicine, 2020, 40(12): 1671-1676.

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