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Arthro-osteitis--a clinical spectrum

R A Watts1, A J Crisp, B L Hazleman

  • 1Rheumatology Research Unit, Addenbrooke's Hospital, Cambridge.

British Journal of Rheumatology
|May 1, 1993
PubMed
Summary

Arthro-osteitis, a rare condition linked to palmoplantar pustulosis, can occur without skin lesions. Aortic calcification was observed in one case, suggesting potential inflammatory aortitis.

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Area of Science:

  • Rheumatology
  • Dermatology
  • Cardiology

Background:

  • Arthro-osteitis is an uncommon condition, often associated with palmoplantar pustulosis.
  • It belongs to a spectrum of conditions including synovitis, acne, pustulosis, hyperostosis, osteitis syndrome (SAPHO) and sternocostoclavicular hyperostosis.

Observation:

  • This report details four cases of arthro-osteitis.
  • These cases presented without concurrent skin manifestations.

Findings:

  • The study illustrates the varied clinical presentation of arthro-osteitis.
  • One patient exhibited extensive aortic calcification, a novel finding for this condition.

Implications:

  • The findings suggest arthro-osteitis may manifest without skin lesions.
  • Aortic calcification in this context may indicate a low-grade inflammatory aortitis, expanding the known clinical spectrum.

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