Abstract
A 25 year old woman was recently diagnosed with SAPHO (synovitis-acne-pustulosis-hyperostosis-osteitis) syndrome. On magnetic resonance imaging, performed for chronic left sternoclavicular pain, incidental left common carotid artery (CCA) occlusion was diagnosed. During further diagnostic work up, duplex ultrasound also revealed newly appeared but asymptomatic intima-media ulceration of the contralateral CCA, (A, arrow), confirmed by computed tomography (B, right CCA ulceration, arrow; left CCA occlusion, asterisk). Characteristic arterial involvement associated with recurrent oral ulceration and skin lesions indicated Behçet's disease. Treatment included steroids, methotrexate, and infliximab. Duplex ultrasound after two weeks revealed healing of the ulcerated right CCA, with intimal regeneration clearly noted.Image 1
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