{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T19:29:45Z","timestamp":1786562985130,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T00:00:00Z","timestamp":1692230400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T00:00:00Z","timestamp":1692230400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) is a rare chronic inflammatory disease that develops in adults. We present a case of SAPHO syndrome in a 37\u2010year\u2010old male presenting with gradually worsening back and neck pain for a 7\u2010year period. The episodes were preceded by a history of pustular skin eruptions, which first appeared on the upper trunk and then involved his face and were pustular and scarring. The purpose of presenting this case report from Iraq is to raise awareness about this rare condition, which is frequently misdiagnosed and under\u2010recognized.<\/jats:p>","DOI":"10.1111\/1756-185x.14878","type":"journal-article","created":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T04:06:51Z","timestamp":1692331611000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Unusual cause of inflammatory backache:\n                    <scp>SAPHO<\/scp>\n                    syndrome"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7634-0146","authenticated-orcid":false,"given":"Nabaa Ihsan","family":"Awadh","sequence":"first","affiliation":[{"name":"Rheumatology Unit, Department of Internal Medicine Baghdad Teaching Hospital  Baghdad Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faiq I.","family":"Gorial","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, Department of Medicine, College of Medicine University of Baghdad  Baghdad Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7789-1727","authenticated-orcid":false,"given":"Ahmed Dheyaa","family":"Al\u2010Obaidi","sequence":"additional","affiliation":[{"name":"College of Medicine University of Baghdad  Baghdad Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6155-7302","authenticated-orcid":false,"given":"Hashim Talib","family":"Hashim","sequence":"additional","affiliation":[{"name":"College of Medicine University of Baghdad  Baghdad Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa Najah","family":"Al\u2010Obaidi","sequence":"additional","affiliation":[{"name":"College of Medicine University of Baghdad  Baghdad Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reem Abbas","family":"Hammadi","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, Department of Internal Medicine Baghdad Teaching Hospital  Baghdad Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,17]]},"reference":[{"issue":"3","key":"e_1_2_11_2_1","first-page":"187","article-title":"Le syndrome acn\u00e9 pustulose hyperostose ost\u00e9ite (SAPHO). R\u00e9sultats d'une enqu\u00eate nationale. 85 observations [Acne\u2010pustulosis\u2010hyperostosis\u2010osteitis syndrome. Results of a national survey. 85 cases]","volume":"54","author":"Chamot AM","year":"1987","journal-title":"Rev Rhum Mal Osteoartic"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xnsj.2021.100050"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2022.911922"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-010-1560-x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijri.IJRI_203_18"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.181393"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/14397595.2013.874760"},{"issue":"1","key":"e_1_2_11_9_1","first-page":"35","article-title":"Serum IgG4 elevation in SAPHO syndrome: does it unmask a disease activity marker?","volume":"38","author":"Li C","year":"2020","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0049-0172(99)80027-4"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573397111309010007"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-014-0627-7"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.10184"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-017-3751-1"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2020.12.005"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.2147\/JIR.S353539"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.22776"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.5070\/D3222030099"},{"issue":"4","key":"e_1_2_11_19_1","first-page":"663","article-title":"Efficacy of bisphosphonates in patients with synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome: a prospective open study","volume":"37","author":"Li C","year":"2019","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.14693"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.14628"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.14513"}],"container-title":["International Journal of Rheumatic Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1756-185X.14878","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1756-185X.14878","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1756-185X.14878","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T18:56:35Z","timestamp":1786560995000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1756-185X.14878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,17]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/1756-185X.14878"],"URL":"https:\/\/doi.org\/10.1111\/1756-185x.14878","archive":["Portico"],"relation":{},"ISSN":["1756-1841","1756-185X"],"issn-type":[{"value":"1756-1841","type":"print"},{"value":"1756-185X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,17]]},"assertion":[{"value":"2023-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14878"}}