[Chronic arthritis in palmo-plantar pustulosis. Bacterid of Andrews].
Report of a 30 years old man story pustulosis palmaris et plantaris, spondylodiscitis L5-S1, right sterno-clavicular arthritis, right sacro-iliitis, and pubic symphysitis. Multiple bacteriologic investigations did not discover any infectious articular process. Histologic articular findings were inflammatory pattern, non steroid anti-inflammatory drugs corrected the arthritis. Anterior thoracic arthropathies are quasi-constant. Inflammatory spondylodiscitis are frequent, while sacro-iliac involvement is infrequent, this pattern distinguishing pustular arthro-osteitis from classic pelvispondylitis. Radiologic lesions are peculiar by predominance on one articular side at each site. Nosology is discussed. Slow infection by non virulent germs has been suspected , but seems improbable. This affection seems close seronegative spondylo-arthropathies and reactive arthritis, like acne conglobata arthritis for instance. Usual absence of HLA-B27 antigen must be noted.
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001168:Arthritis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003937:Diagnosis, Differential; D005533:Foot Dermatoses / Q000150:complications* / Q000175:diagnosis; D006229:Hand Dermatoses / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D011565:Psoriasis / Q000175:diagnosis; D013492:Suppuration
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents
Arthrites chroniques des pustuloses palmo-plantaires. Bactérides d'Andrews.