Gran J T
Revmatologisk avdeling Aust Agder Sentralsjukehus, Arendal.
Tidsskr Nor Laegeforen. 1993 Jun 10;113(15):1852-3.
Musculoskeletal involvement is seen in approximately 15% of patients with pustulosis palmoplantaris. Usually the upper anterior parts of the trunk are affected, but, not infrequently, the peripheral joints are involved. The author reports the case of a female patient with pustulosis palmoplantaris and arthritis of a wrist and a knee. The patient was followed for more than seven years, and the course of pustulotic arthroosteitis was characterized by frequent exacerbations of unilateral gonarthritis. The arthritis of the wrist did not respond to treatment with non steroidal anti-inflammatory drugs or to intraarticular injections of corticosteroids. She responded well, however, to surgical synovectomy.
掌跖脓疱病患者中约15%会出现肌肉骨骼受累。通常躯干上部前部会受到影响，但外周关节受累也并不罕见。作者报告了一例患有掌跖脓疱病及手腕和膝关节关节炎的女性患者。该患者随访超过七年，脓疱性关节骨炎病程的特点是单侧膝关节炎频繁加重。手腕关节炎对非甾体抗炎药治疗或关节内注射皮质类固醇均无反应。然而，她对手术滑膜切除术反应良好。
