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Posttraumatic psoriatic osteitis of the frontal bone successfully treated with etanercept. Report of a case
Bernard Fournié1, Laurent Zabraniecki, Olivia Lemaire
1Service de clinique de rhumatologie, CHU Purpan, place Baylac, TSA 40070, 31059 Toulouse cedex 9, France. fournie.b@chu-toulouse.fr
Joint Bone Spine
|December 22, 2009
Abstract:
We report a case of aseptic osteomyelitis of the frontal bone that developed after a local injury in an 8-year-old girl with psoriasis of the scalp as a predisposing factor. Follow-up was 36 years (1972 to 2008). Enthesitis of the forehead muscles was a plausible pathophysiological mechanism. The symptoms responded to anti-inflammatory medications and resolved immediately after the introduction of etanercept therapy. The most interesting feature of this case of psoriatic osteomyelitis is the involvement of a skull bone.