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Renal dysfunction due to hydronephrosis by SAPHO syndrome: a case report.

Kakoki K, Miyata Y, Enokizono M, Uetani M, Sakai H - Clin Case Rep (2015)

Bottom Line: Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis (SAPHO) syndrome shows varied pathological symptoms.This is the first report of hydronephrosis due to the mechanical compression of bilateral ureters as a result of SAPHO syndrome.From our experience, MRI is the most useful imaging examination to check the upper urinary tract in SAPHO syndrome.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Nagasaki University Graduate School of Biomedical Sciences Nagasaki, Japan.

ABSTRACT
Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis (SAPHO) syndrome shows varied pathological symptoms. This is the first report of hydronephrosis due to the mechanical compression of bilateral ureters as a result of SAPHO syndrome. From our experience, MRI is the most useful imaging examination to check the upper urinary tract in SAPHO syndrome.

No MeSH data available.


Related in: MedlinePlus

Half-Fourier-acquisition single-shot turbo spin-echo (HASTE) maximum intensity projection (MIP) image showing bilateral hydronephrosis and a hydroureter.
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fig01: Half-Fourier-acquisition single-shot turbo spin-echo (HASTE) maximum intensity projection (MIP) image showing bilateral hydronephrosis and a hydroureter.

Mentions: Although MRI of the abdomen confirmed right and left ureter dilations to the S1 and L5 level, respectively (Figs.1 and 2), no obvious mass was detected in the urinary tract. Moreover, MRI showed prevertebral soft tissue involvement of the bilateral lower ureters from the lower lumbar vertebrae to the sacrum (Fig.3). Bilateral thickness of the lower thoracic to the sacroiliac joints was also detected. These findings are known to be detected in SAPHO syndrome with considerable frequency 3. We recommended a biopsy of the prevertebral soft tissue for accurate diagnosis. However, the patient refused as he felt burdened.


Renal dysfunction due to hydronephrosis by SAPHO syndrome: a case report.

Kakoki K, Miyata Y, Enokizono M, Uetani M, Sakai H - Clin Case Rep (2015)

Half-Fourier-acquisition single-shot turbo spin-echo (HASTE) maximum intensity projection (MIP) image showing bilateral hydronephrosis and a hydroureter.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4551326&req=5

fig01: Half-Fourier-acquisition single-shot turbo spin-echo (HASTE) maximum intensity projection (MIP) image showing bilateral hydronephrosis and a hydroureter.
Mentions: Although MRI of the abdomen confirmed right and left ureter dilations to the S1 and L5 level, respectively (Figs.1 and 2), no obvious mass was detected in the urinary tract. Moreover, MRI showed prevertebral soft tissue involvement of the bilateral lower ureters from the lower lumbar vertebrae to the sacrum (Fig.3). Bilateral thickness of the lower thoracic to the sacroiliac joints was also detected. These findings are known to be detected in SAPHO syndrome with considerable frequency 3. We recommended a biopsy of the prevertebral soft tissue for accurate diagnosis. However, the patient refused as he felt burdened.

Bottom Line: Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis (SAPHO) syndrome shows varied pathological symptoms.This is the first report of hydronephrosis due to the mechanical compression of bilateral ureters as a result of SAPHO syndrome.From our experience, MRI is the most useful imaging examination to check the upper urinary tract in SAPHO syndrome.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Nagasaki University Graduate School of Biomedical Sciences Nagasaki, Japan.

ABSTRACT
Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis (SAPHO) syndrome shows varied pathological symptoms. This is the first report of hydronephrosis due to the mechanical compression of bilateral ureters as a result of SAPHO syndrome. From our experience, MRI is the most useful imaging examination to check the upper urinary tract in SAPHO syndrome.

No MeSH data available.


Related in: MedlinePlus