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[Lyme disease and SAPHO syndrome]
T de Vega Santos1, M Haro Herrero, S Montolio Doñate
1Servicio de Medicina Interna, Hospital Comarcal Santiago Apóstol, Miranda de Ebro, Burgos.
Summary
Lyme disease and SAPHO syndrome share joint symptoms, suggesting a potential overlap. A patient with features of both conditions improved with antibiotic treatment for Lyme disease.
Area of Science:
- Rheumatology
- Infectious Diseases
- Immunology
Background:
- Joint manifestations in Lyme disease resemble reactive arthritis.
- SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis) syndrome is considered a seronegative spondyloarthropathy.
Observation:
- A patient presented with joint, ocular, and serological signs consistent with Lyme disease.
- The patient later exhibited features suggestive of SAPHO syndrome.
Findings:
- The patient's symptoms improved significantly with antibiotic treatment targeting Lyme disease.
- This case highlights a potential connection between Lyme disease and SAPHO syndrome.
Implications:
- Some patients diagnosed with SAPHO syndrome may have an underlying Lyme disease infection.
- Further investigation into Lyme disease as a potential cause for SAPHO syndrome is warranted.