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<p>Psoriasis vulgaris, palmoplantar pustulosis, acne and hidradenitis suppurativa in various forms are independent dermatological conditions that usually require extensive treatment; however, these dermatological entities also occur coincidentally with the rheumatological diseases of adult chronic non-bacterial osteomyelitis (CNO) and SAPHO syndrome. In the latter case the dermatological entities acne and palmoplantar pustulosis are actually indicative for the diagnosis, for the letters&#xa0;A and P in the acronym SAPHO, even though SAPHO has been used in routine clinical practice without dermatological manifestations. According to the new consensus recommendations, however, SAPHO syndrome is now only listed as a&#xa0;subtype of adult CNO [<CitationRef CitationID="CR1">1</CitationRef>]. The similarity of the rheumatological clinical picture of adult CNO to the aforementioned dermatological entities requires a&#xa0;differentiated presentation of the diagnosis, diagnostic classification and interdisciplinary treatment planning from a&#xa0;dermatological perspective, which are presented in this article.</p>

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Entzündliche Dermatosen bei der adulten chronisch nicht-bakteriellen Osteitis aus dermatologischer Perspektive

  • 期刊论文

  • 发表日期：

    2026年2月24日

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  • Mareike Alter,
  • Cornelia S. L. Müller,
  • Claudia Pfoehler,
  • Gunter Assmann,
  • Laura Susok

摘要

Psoriasis vulgaris, palmoplantar pustulosis, acne and hidradenitis suppurativa in various forms are independent dermatological conditions that usually require extensive treatment; however, these dermatological entities also occur coincidentally with the rheumatological diseases of adult chronic non-bacterial osteomyelitis (CNO) and SAPHO syndrome. In the latter case the dermatological entities acne and palmoplantar pustulosis are actually indicative for the diagnosis, for the letters A and P in the acronym SAPHO, even though SAPHO has been used in routine clinical practice without dermatological manifestations. According to the new consensus recommendations, however, SAPHO syndrome is now only listed as a subtype of adult CNO [1]. The similarity of the rheumatological clinical picture of adult CNO to the aforementioned dermatological entities requires a differentiated presentation of the diagnosis, diagnostic classification and interdisciplinary treatment planning from a dermatological perspective, which are presented in this article.