Przepiera-Bedzak Hanna, Brzosko Iwona, Brzosko Marek
Klinika Reumatologii Pomorskiej AM w Szczecinie.
Pol Arch Med Wewn. 2002 Jan;107(1):59-62.
We report two cases of coincidence palmoplantar pustulosis and joint changes. Two patients fulfilled criteria for arthroosteitis pustulosa: pustular eruptions of the palms and soles and pain of sterno-clavicular joint. They also fulfills criteria for SAPHO syndrome: osteoarticular manifestations of palmoplantar pustulosis. Clinical examination and scintigraphy confirmed the diagnoses. Treatment was started with antibiotics and nonsteroid anti-inflammatory drugs. Oral corticosteroids therapy with methotrexate was given to one patient.
我们报告两例掌跖脓疱病与关节改变同时出现的病例。两名患者符合脓疱性关节炎的标准：手掌和脚底出现脓疱疹以及胸锁关节疼痛。他们也符合SAPHO综合征的标准：掌跖脓疱病的骨关节表现。临床检查和闪烁扫描法证实了诊断。治疗开始时使用了抗生素和非甾体抗炎药。其中一名患者接受了口服皮质类固醇与甲氨蝶呤联合治疗。
