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Acro-osteolysis

Case contributed by Dr Domenico Nicoletti

Presentation

Psoriasis for six years with rough, red patches on the skin and thickened nails

Patient Data

Age: 70 years
Gender: Female
X-ray

There are erosions of the apices and bases of the distal phalanges with erosions of the apex of the intermediate phalanges of the last four toes. Resorption also of the base of the second phalanx of the big toe and of the heads of the first phalanges of all the toes.

Case Discussion

Usually the psoriatic arthritis affects the small joints of the hands and feet or large joints (elbows, knees, and ankles) typically asymmetrically.

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Case information

rID: 72472
Published: 27th Nov 2019
Last edited: 28th Nov 2019
Inclusion in quiz mode: Included

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