Chronic diffuse sclerosing osteomyelitis of the mandible or mandibular location of S.A.P.H.O. syndrome

Acta Stomatol Belg. 1996 Jun;93(2):65-71.


The chronic diffuse sclerosing osteomyelitis (CDSO) of the mandible has been described as an inflammatory disease characterized by recurrent episodes of intense pain in the mandible, often accompanied by trismus, paresthesia and progressive mandibular deformity. The etiopathogeny of this entity is not fully known. The differential diagnosis must be carried out very carefully, and the treatment results are very disappointing. Recently, evidence that suggests that CDSO may be the mandibular location of a more diffuse condition, the synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome, has been offered. We describe two clinical cases of CDSO of typical evolution which fulfill the criteria for SAPHO syndrome, offering us an occasion for a review of the current literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acne Vulgaris / pathology*
  • Adult
  • Amoxicillin / therapeutic use
  • Amoxicillin-Potassium Clavulanate Combination
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Chronic Disease
  • Clavulanic Acids / therapeutic use
  • Diagnosis, Differential
  • Drug Therapy, Combination / therapeutic use
  • Follow-Up Studies
  • Humans
  • Hyperostosis / pathology*
  • Male
  • Mandibular Diseases / diagnosis*
  • Mandibular Diseases / pathology
  • Middle Aged
  • Osteitis / pathology*
  • Osteomyelitis / diagnosis*
  • Osteomyelitis / pathology
  • Penicillin V / therapeutic use
  • Penicillins / therapeutic use
  • Psoriasis / pathology*
  • Sclerosis
  • Syndrome
  • Synovitis / pathology*


  • Anti-Inflammatory Agents, Non-Steroidal
  • Clavulanic Acids
  • Penicillins
  • Amoxicillin-Potassium Clavulanate Combination
  • Amoxicillin
  • Penicillin V