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Clinical outcomes of an inflammatory bone disorder that may be associated with skin disorders.

Long-term clinical outcomes in Synovitis Acne Pustulosis Hyperostosis and Osteitis syndrome

Status
Completed
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12619000445178
Acronym
SAPHO
Enrollment
21
Registered
2019-03-18
Start date
1986-01-01
Completion date
2018-12-02
Last updated
2019-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis or SAPHO syndrome, is a rare immuno-inflammatory bone disease that may be associated with skin changes. There are no clear guidelines for treatment. To assess the outcome of previously observed therapeutic treatments in SAPHO, we examined outcomes in 21 patients collected over more than 30 years of clinical experience. Mostly good or very good long-term treatment outcomes were observed in older bisphosphonate medications and newer biologic treatment called tumour necrosis factor inhibitor (TNFi) treatment.

Interventions

The clinical features and treatment outcomes in a cohort of 21 patients diagnosed with Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis or SAPHO syndrome, in Western Australia were reviewed retrospectively over a 32-year period by chart review and electronic medical record interrogation. No involvement or consent was required. This was a retrospective data audit .

Sponsors

Graeme Carroll
Lead SponsorIndividual

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Diagnosis of SAPHO as defined as multifocal osteitis with/without skin symptoms, sterile acute or chronic joint inflammation with either palmoplantar pustulosis or psoriasis, or acne or hidradenitis, with sterile osteitis with any one of these sets of criteria deemed sufficient for diagnosis.

Exclusion criteria

Those people that did not meet the criteria required to be diagnosed with SAPHO (multifocal osteitis with/without skin symptoms, sterile acute or chronic joint inflammation with either palmoplantar pustulosis or psoriasis, or acne or hidradenitis, with sterile osteitis with any one of these sets of criteria).

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 22, 2026