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[Skeletal changes during the course of pustulosis palmoplantaris--report of two cases]
Hanna Przepiera-Bedzak1, Iwona Brzosko, Marek Brzosko
1Klinika Reumatologii Pomorskiej AM w Szczecinie.
Abstract:
We report two cases of coincidence palmoplantar pustulosis and joint changes. Two patients fulfilled criteria for arthroosteitis pustulosa: pustular eruptions of the palms and soles and pain of sterno-clavicular joint. They also fulfills criteria for SAPHO syndrome: osteoarticular manifestations of palmoplantar pustulosis. Clinical examination and scintigraphy confirmed the diagnoses. Treatment was started with antibiotics and nonsteroid anti-inflammatory drugs. Oral corticosteroids therapy with methotrexate was given to one patient.
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