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Magnetic resonance imaging revealed osteitis of the distal end of the right radius.Technetium-99m-MDP Whole Body Bone Scan revealed increased metaphyseal uptake in distal radius on both sides and prominent uptake at the sacroiliac joints, vertebral end plate, left 7 costo-vertebral joint and bilateral sternoclavicular joints and manubrium sternum (resulting in “bull's head” sign, which is characteristic of SAPHO syndrome).He responded very well to a combination therapy of nonsteroid anti-inflammatory drugs, antibiotics, colchicine, and isotretinoin over a 12-week period.Keywords: Acne fulminans, bull-head sign, osteitis, SAPHO syndrome How to cite this URL: Divya B L, Rao P N.Heugel's genesis dates from January 1st, 1839, when Jacques Léopold Heugel (1815-1883) became a partner of the Paris music publisher Jean Antoine Meissonnier (1783-1857), whose business was located at 2 bis Rue Vivienne.The name was changed to Heugel following Meissonier's retirement on April 20th, 1842.His name day in the Greek church is December 20th and anyone named Ignatios shares this name day, even if they were born in May!Greek celebrates every name day, so be sure to check back on this page to find who has the name day every day!

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