[Psoriatic onycho-pachydermo- periostitis].
We report about a patient with a 2 year history of palmo-plantar psoriasis and psoriatic involvement of the nails. Within six months he developed a psoriatic onychodystrophy and painful swellings of the toes and fingers. X-rays revealed acral lamellar periostitis. The case of this patient represents a rare variety of psoriatic arthritis: The psoriatic onycho-pachydermo-periostitis. After a 6 week therapy with methotrexate (15mg per week) the nails began to grow regularly. Therefore, in cases of psoriasis with unusual symptoms of psoriatic arthritis the psoriatic onycho-pachydermo-periostitis should be included in differential diagnosis and therapy.
Kroiss
M M
MM
Klinik und Poliklinik für Dermatologie Universität Regensburg Franz-Josef-Strauss-Allee 11 93042 Regensburg, Germany. thomas.vogt@klinik.uni-regensburg.de
Vogt
T
T
Finkenzeller
T
T
Landthaler
M
M
Stolz
W
W
D000328:Adult; D018501:Antirheumatic Agents / Q000627:therapeutic use; D015535:Arthritis, Psoriatic / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D009260:Nail Diseases / Q000175:diagnosis* / Q000188:drug therapy; D009539:Nicotinic Acids / Q000627:therapeutic use; D010004:Osteoarthropathy, Primary Hypertrophic / Q000175:diagnosis* / Q000188:drug therapy; D011701:PUVA Therapy; D012176:Retinoids
D018501:Antirheumatic Agents; D008727:Methotrexate; D009539:Nicotinic Acids; C086827:tazarotene; D012176:Retinoids