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Pyogenic arthritis, pyoderma gangrenosum, and acne (PAPA) syndrome: differential diagnosis of septic arthritis by regular detection of exceedingly high synovial cell counts

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Abstract

Pyogenic arthritis, pyoderma gangrenosum and acne syndrome was diagnosed in a 42-year-old patient, after an unusual persistency of high synovial cell counts had been noticed. Clinical peculiarities and problems with diagnosing septic versus non-septic arthritis are discussed.

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Authors and Affiliations

  1. Rheumatologie Nymphenburg, Nymphenburger Str. 108a, 80636, Munich, Germany

    W. Löffler

  2. Institut für Laboratoriumsmedizin, Virchowstr. 10 c, 78224, Singen, Germany

    P. Lohse

  3. Allgemeinmedizin und Sportmedizin Nymphenburg, Nymphenburger Str. 108a, 80636, Munich, Germany

    T. Weihmayr & W. Widenmayer

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  1. W. Löffler
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  2. P. Lohse
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Correspondence to W. Löffler.

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Löffler, W., Lohse, P., Weihmayr, T. et al. Pyogenic arthritis, pyoderma gangrenosum, and acne (PAPA) syndrome: differential diagnosis of septic arthritis by regular detection of exceedingly high synovial cell counts. Infection 45, 395–402 (2017). https://doi.org/10.1007/s15010-017-0996-1

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  • DOI: https://doi.org/10.1007/s15010-017-0996-1

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