AN ASEPTIC INFLAMMATION OF THE CLAVICLE IN A PATIENT WITH CROHNS-DISEASE

A female patient with Crohn's disease developed an aseptic osteoarticu lar involvement of the left clavicle and sterno- and acromioclavicular regions. Repeated surgical revisions combined with a broad-spectrum a ntimicrobial treatment could not prevent the progress of the disease. However, the patient started to improve after the diagnosis of the SAP HO (synovitis, acne, pustulosis, hyperostosis and osteomyelitis) syndr ome was made and the dose of her immunosuppressive therapy increased. This patient reminds of the existence of extraintestinal aseptic infec tions in association with inflammatory bowel disease (IBD). Moreover, it may provide further evidence on the significant association between SAPHO and IBD.