Table 1.
Inclusion criteria | Osteo-articular manifestations of acne conglobata, acne fulminans, or hidradenitis suppurativa (i.e., inflammatory synovitis, anterior chest wall hyperostosis or osteitis, hyperostosis or osteitis at another site,or spondylitis or spondylodiscitis) |
Osteo-articular manifestations of palmoplantar pustulosis (i.e., inflammatory synovitis, hyperostosis +/− osteitis, or spondylitis or spondylodiscitis ) | |
Hyperostosis (of the anterior chest wall, limbs or spine) with or without dermatosis | |
CRMO involving the axial or peripheral skeleton with or without dermatosis | |
Exclusion criteria | Septic osteomyelitis |
Infectious chest wall arthritis | |
Infectious palmoplantar pustulosis | |
Palmoplantar keratoderma | |
Diffuse idiopathic skeletal hyperostosis (DISH), except for fortuitous association | |
Osteoarticular manifestations of retinoid therapy | |
Other reported features | Possible association with psoriasis vulgaris |
Possible association with an inflammatory enterocolopathy | |
Features of ankylosing spondylitis | |
Presence of low-virulence bacterial infections |
The presence of 1 of the 4 inclusion criteria is sufficient for diagnosis of SAPHO syndrome.