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Pustulosis Palmoplantaris Associated with Arthro-Osteitis of the Long Bones : Case Report Tomoyuki Abe 1 , Tateru Shiraishi 1 , Hiroshi Yoshida 1 , Takashi Matsumura 1 , Yoshiyuki Yato 1 1Department of Orthopaedic Surgery, Saiseikai Utsunomiya Hospital Keyword: pustulotic arthro-osteitis , 掌蹠膿疱症性骨関節炎 , long bone , 長管骨 , pustulosis palmoplantaris , 掌蹠膿疱症 pp.341-344
Published Date 2004/3/1
DOI https://doi.org/10.11477/mf.1408100400
  • Abstract
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 We report a rare case of pustulosis palmoplantaris that was associated with arthro-osteitis of the long bones. A 56-year-old man who complained of pain in the anterior chest wall and both legs was diagnosed at another hospital with pustulotic arthro-osteitis because of a history of pustulosis palmoplantaris. Because the pain failed to respond to tonsillectomy and NSAIDs, he was referred to our outpatient clinic in June 2001. Plain radiographs revealed hyperostosis in the sternoclavicular joint and periosteal hypertrophy in the right femur and tibia. Laboratory data showed CRP elevation to 8.6 mg/dl. After combination therapy with methotrexate, minomycin®, and colchcine, the pain was relieved and the CRP value decreased to 3.7 mg/dl. To our best of our knowledge there have been few reports on pustulotic arthro-osteitis with extensive lesions involving the long bones. Pustulotic arthro-osteitis with extensive lesions involving the long bones may be intractable.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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