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[Post-traumatic psoriatic arthritis. 2 cases]

B Thomachot1, P Lafforgue, P C Acquaviva

  • 1Service de Rheumatologie, CHU la Conception, Marseille.

Presse Medicale (Paris, France : 1983)
|January 6, 1996
PubMed
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Physical trauma can trigger psoriatic arthritis, a rare condition. Early recognition of trauma

Area of Science:

  • Rheumatology
  • Dermatology
  • Immunology

Background:

  • Rheumatoid arthritis pathogenesis is linked to physical trauma.
  • Psoriatic arthritis development following physical trauma is rarely reported.
  • This study investigates two cases of psoriatic arthritis potentially precipitated by occupational accidents.

Observation:

  • Case 1: A 43-year-old male with a calcaneus fracture developed psoriatic arthritis and Hallopeau's acrodermatitis.
  • Case 2: A 50-year-old male experienced wrist pain after a fall, leading to carpal tunnel syndrome and subsequent inflammatory synovitis and psoriatic arthritis.

Findings:

  • Both cases presented with psoriatic arthritis symptoms after significant physical trauma.
  • The onset of arthritis manifestations occurred years after the initial trauma.

Related Experiment Videos

  • Established criteria for trauma-induced arthritis include single major trauma, prior absence of symptoms, and continuous clinical course.

    • Implications:

    • Physicians should consider physical trauma as a potential causative factor in psoriatic arthritis.
    • Awareness of this link is crucial due to potential legal implications.
    • Further research into the pathophysiology, possibly involving deep Koebner's phenomena or Substance P activation, is warranted.