Ziemer A, Heider M, Göring H D
Hautklinik und Immunologisches Zentrum, Städtisches Klinikum Dessau.
Hautarzt. 1998 Nov;49(11):859-62. doi: 10.1007/s001050050839.
A 46-years old male patient suffered for several years from painful swelling of the distal soft tissues of the great toes associated with onychodystrophy. Mycological studies were negative. By means of radiological and scintigrafic examination and because of the typical clinical signs, the diagnosis of psoriatic onycho-pachydermo-periostitis of the great toes was established. The syndrome which is highly evocative of rheumatoid psoriasis was first described by Fournié and co-workers in 1989. Oral retinoids were helpful in diminishing both pain and soft tissue swelling of the great toes.
一名46岁男性患者多年来一直遭受大脚趾远端软组织疼痛性肿胀，并伴有甲营养不良。真菌学检查为阴性。通过放射学和闪烁扫描检查，以及典型的临床症状，确诊为大脚趾的银屑病性甲厚皮性骨膜炎。这种高度提示类风湿性银屑病的综合征最早由富尔尼及其同事于1989年描述。口服维甲酸有助于减轻大脚趾的疼痛和软组织肿胀。
