Association of Tietze's syndrome and arthritis of manubriosternal and sternoclavicular joints with pustular bacterid (pustulosis palmaris et plantaris due to focal infection)

DOI Web Site 3 Citations
  • ISHIBASHI Akira
    Department of Dermatology, Kyorin University School of Medicine
  • NISHIYAMA Yoshio
    Department of Dermatology, Kyorin University School of Medicine
  • ENDO Mikio
    Department of Dermatology, Nihon University School of Medicine
  • KAWAJI Wataru
    Department of Orthopedics, Kyorin University School of Medicine
  • KATO Tadashi
    Department of Orthopedics, Kyorin University School of Medicine
  • NUNODA Yoshiyuki
    Department of Orthopedics, Kyorin University School of Medicine
  • MOCHIZUKI Kazuo
    Department of Orthopedics, Kyorin University School of Medicine
  • OTA Nobuo
    Department of Orthopedics, Kyorin University School of Medicine

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Other Title
  • 胸骨柄部体部間関節症, 肋軟骨炎(Tietze 氏病)と巣感染, 掌蹠膿疱症との関連性
  • キョウコツガラブタイブカン カンセツショウ ロクナンコツエン Tietzeシビ

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Abstract

Painful orthopedic symptoms in the sternal area such as arthritis of the manubriosternal joint (5 cases) and sternoclavicular joint (4 cases), and Tietze's syndrome (4 cases) were found in 14 of 132 cases of pustulosis palmaris et plantaris. Majority of pustulosis palmaris et plantaris patients with orthopedic symptoms had the skin eruptions not only in the palms and soles, but also in the backs of the hands and feet, the arms, the legs and the trunk. Such cases tended to show elevation of erythrocyte sedimentation rate, leucocytosis, changes of serum globulin, and also pyrexia at the time of exacerbation. The skin and orthopedic symptoms often worsened after acute exacerbation of focal infection, and occasionally responded to tonsillectomy or chemotherapy with antibiotics, suggesting the probable cause of bacterid.

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