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Case Reports

Uncommon Etiology of an Anterior Chest Wall Mass

^a Department of Surgery, Division of Thoracic Surgery, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, New York
^b Department of Medicine, Division of Infectious Diseases, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, New York

Accepted for publication July 27, 2009.

^_* Address correspondence to Dr Schwartz, Department of Surgery, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, 1000 10th Ave, Ste 2B, New York, NY 10019 (Email: gschwart{at}chpnet.org).

A rare but important constellation of musculoskeletal and cutaneous symptoms, including synovitis, acne, pustulosis, hyperostosis, and osteitis, has recently been designated the SAPHO syndrome. The exact etiology is unknown, although various infectious agents have been proposed. The most common site of osteoarticular involvement is the sternoclavicular joint, and therefore, recognition of this syndrome and appropriate workup and management is crucial in the differential diagnosis of an anterior chest wall mass.