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Diagnostics 2016, 6(3), 29; doi:10.3390/diagnostics6030029

Sternocostoclavicular Hyperostosis: An Ill-Recognized Disease

1
Department of Diagnostic Imaging, Nordsjællands Hospital Hillerød, Copenhagen University Hospital, Dyrehavevej 29, 3400 Hillerød, Denmark
2
Department of Radiology, Rigshospitalet, Copenhagen University Hospital Copenhagen, Blegdamsvej 9, 2100 København Ø, Denmark
3
Department of Pulmonary and Infectious Diseases, Nordsjællands Hospital Hillerød, Copenhagen University Hospital, Dyrehavevej 29, 3400 Hillerød, Denmark
*
Author to whom correspondence should be addressed.
Academic Editor: John Dickson
Received: 15 June 2016 / Revised: 19 July 2016 / Accepted: 1 August 2016 / Published: 5 August 2016
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Abstract

Sternocostoclavicular hyperostosis (SCCH) is an ill-recognized, rarely diagnosed disease. Today, SCCH is widely considered part of the synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome. SCCH develops over years with intermittent attacks of pain, swelling, and reddening of the sternocostoclavicular region. The disease causes progressive hyperostosis, fusion of the sternocostoclavicular joints, and soft tissue ossification. SCCH is chronic, non-malignant, and occurs predominantly bilaterally in middle-aged women. The incidence of the disease is unknown. We present a case of isolated SCCH, where chest radiographs showed a clear development of bilateral disease over the course of more than a decade. Whole-body bone scintigraphy was performed and was suggestive of SCCH. The diagnosis was established as late as 14 years from the onset of symptoms. During this period, the patient underwent several inconclusive examinations, resulting in a delay of diagnosis and in prolonged and aggravated symptoms. With this case report, we want to draw attention to SCCH and the importance of early diagnosis of the disease. View Full-Text
Keywords: sternocostoclavicular hyperostosis; SCCH; sternocostoclavicular joint; shoulder girdle; bullhead sign; technetium-99m diphosphonate; SAPHO syndrome sternocostoclavicular hyperostosis; SCCH; sternocostoclavicular joint; shoulder girdle; bullhead sign; technetium-99m diphosphonate; SAPHO syndrome
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Roed, B.; Kristensen, T.; Thorsen, S.; Poulsen Bloch, K.; Afzelius, P. Sternocostoclavicular Hyperostosis: An Ill-Recognized Disease. Diagnostics 2016, 6, 29.

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