title: Onycho-pachydermatit with extensive bone marrow edema predominant in the metacarpals: a "forme fruste" of POPP?
abstract: Psoriatic onycho-pachydermo-osteo/periostitis (POPP) syndrome is a rare form of psoriatic arthritis with a combination of (i) psoriatic onychodystrophy, (ii) connective tissue thickening, and (iii) periostitis of the distal phalanges. The treatment of the condition has generally been reported to be unsatisfactory with the traditional regimes. Here, we describe a case whom we believe is one presentation of POPP with extensive bone marrow edema of metacarpal bones without distinctive periostitis.
authors: Department of Radiology, Gulhane Military Medical Academy, Gn.Tevfik Saglam Cad., 06018, Etlik-Ankara, Turkey. tubasanal@gmail.com
authors: Hatice Tuba
authors: HT
authors: Sanal
authors: Sedat
authors: S
authors: Yilmaz
authors: Muhammet
authors: M
authors: Cinar
authors: Ismail
authors: I
authors: Simsek
authors: Ayhan
authors: A
authors: Dinc
authors: Cem
authors: C
authors: Tayfun
mesh_terms: D015535:Arthritis, Psoriatic / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D001855:Bone Marrow Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003240:Connective Tissue Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D004359:Drug Therapy, Combination; D004487:Edema / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000187:drug effects / Q000473:pathology*; D009260:Nail Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D010522:Periostitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D007166:Immunosuppressive Agents