[Pustular arthro-osteitis. An affection of the musculoskeletal system in pustulosis palmoplantaris]

Musculoskeletal involvement is seen in approximately 15% of patients with pustulosis palmoplantaris. Usually the upper anterior parts of the trunk are affected, but, not infrequently, the peripheral joints are involved. The author reports the case of a female patient with pustulosis palmoplantaris and arthritis of a wrist and a knee. The patient was followed for more than seven years, and the course of pustulotic arthroosteitis was characterized by frequent exacerbations of unilateral gonarthritis. The arthritis of the wrist did not respond to treatment with non steroidal anti-inflammatory drugs or to intraarticular injections of corticosteroids. She responded well, however, to surgical synovectomy.