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Table 1 Baseline data of the 4 patients with SAPHO syndrome

From: Tumor necrosis factor inhibitors for pediatric patients with SAPHO syndrome associated with acne conglobata

Patient No.

1

2

3

Age, yrs./sex

14/M

14/M

15/M

Disease duration, months

48

0

3

Lesions revealed by whole-body bone scintigraphy

Right mandible

Bilateral sternoclavicular joints, hip joints and sacroiliac joints

Sternum, T8, T10, L4, L5, left hip joint, left femur, right ischium

Dermatological manifestation

Nodules, drainage incisions and scars on cheeks, lower jaw, upper arms and chest

Nodules, drainage incisions, sinus tracks and scars on forehead, cheeks, upper back and buttocks

Nodules, drainage incisions and scars on forehead, cheeks, back and chest

Prior treatments

NSAIDs, antibiotics, TNFi,

NSAIDs, TGP

NSAIDs, minocycline, SASP, TNFi, BPs

TNFi therapy

Etanercept (50 mg, qw)

Etanercept (50 mg, qw)

Adalimumab (40 mg, q2w)

Clinical scores

 Pain VAS

0

2

2

 BASDAI

0.8

0.8

1.0

 BASFI

0.3

0.5

5.1

 ASDAS

1.2

3.1

3.4

 HAQ-S

0

0.125

3.125

 DLQI

6

2

6

Laboratory findings

 ESR, mm/h

5

26

54

 CRP, g/L

5.03

30.7

32.7

  1. NSAIDs Nonsteroidal anti-inflammatory drugs, TGP Total glycosides of paeony, SASP Salicylazosulfapyridine, BPs Bisphosphonates, VAS Visual analog scale, BASDI Bath ankylosing spondylitis disease activity index, BASFI Bath Ankylosing Spondylitis Functional Index, ASDAS Ankylosing Spondylitis Disease Activity Score, HAQ-S Health assessment questionnaire for the spondylarthropathties, DLQI Dermatology life quality index