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Sternocostoclavicular hyperostosis: two cases with differing dermatologic syndromes.

D R Ongchi1, M G Fleming, C A Harris

  • 1Department of Internal Medicine, Rush Presbyterian St. Lukes' Medical Center, Chicago, IL 60612.

The Journal of Rheumatology
|October 1, 1990
PubMed
Summary
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Sternocostoclavicular hyperostosis, a rare rheumatic disease, involves bone changes in the chest and is linked to distinct skin conditions. This report details two cases, highlighting the varied dermatologic presentations of this condition.

Area of Science:

  • Rheumatology
  • Dermatology
  • Radiology

Background:

  • Sternocostoclavicular hyperostosis (SCH) is a rare rheumatic disorder.
  • It is characterized by ossification and erosion of the clavicle and first rib.
  • SCH has been associated with pustular skin lesions.

Observation:

  • Two cases of SCH with distinct dermatologic manifestations are presented.
  • Case 1 exhibited features of pustulosis palmaris et plantaris.
  • Case 2 presented with dissecting cellulitis of the scalp.

Findings:

  • Both patients demonstrated characteristic rheumatologic and roentgenographic findings of SCH.
  • Despite differing skin conditions, the underlying diagnosis of SCH was confirmed.
  • This highlights the diverse clinical spectrum of SCH.

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Implications:

  • Recognizing the varied dermatologic associations is crucial for diagnosing SCH.
  • Early diagnosis can be facilitated by considering both skin and bone findings.
  • Further research into the link between SCH and specific dermatoses is warranted.