[Arthritis and pustulosis palmoplantaris]

Pustulosis palmoplantaris (PPP) is a primary skin disease of unknown aetiology, clinically characterised by recurrent eruptions of sterile pustules on the palms and/or soles. About 15% of these patients have associating symptoms from the bones and joints, often localised to the anterior thorax wall where both osteolytic foci and arthritis can be seen. We present the case of a patient with the characteristic clinical picture of PPP and associating arthritis.