[银屑病性甲厚皮性骨膜炎]

[Psoriatic onycho-pachydermo- periostitis].

作者信息

Kroiss M M, Vogt T, Finkenzeller T, Landthaler M, Stolz W

机构信息

Klinik und Poliklinik für Dermatologie Universität Regensburg Franz-Josef-Strauss-Allee 11 93042 Regensburg, Germany.

出版信息

Z Rheumatol. 2002 Oct;61(5):598-600. doi: 10.1007/s00393-002-0314-9.

DOI:10.1007/s00393-002-0314-9

PMID:12399889

Abstract

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.

摘要

我们报告了一名患有掌跖银屑病及指甲银屑病累及病史2年的患者。在6个月内，他出现了银屑病性甲营养不良以及脚趾和手指的疼痛性肿胀。X线显示肢端板层骨膜炎。该患者的病例代表了银屑病关节炎的一种罕见类型：银屑病性甲厚皮骨膜炎。在用甲氨蝶呤（每周15mg）治疗6周后，指甲开始正常生长。因此，对于具有银屑病关节炎不寻常症状的银屑病病例，应在鉴别诊断和治疗中考虑银屑病性甲厚皮骨膜炎。