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Pachydermoperiostosis and psoriatic onychopathy: an unusual association
Author(s) -
Fietta P,
Manganelli P
Publication year - 2003
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1046/j.1468-3083.2003.00591.x
Subject(s) - medicine , periostitis , psoriasis , dermatology , psoriatic arthritis , interphalangeal joint , nail (fastener) , differential diagnosis , surgery , pathology , materials science , metallurgy
A 33‐year‐old man, suffering from cutaneous psoriasis since the age of 16, in the last 6 years experienced slow and painless enlargement at his fingertips and later at his big toes, which resulted in digital clubbing. Since the age of 31, the patient also presented psoriatic nail changes involving all his fingernails, without joint pain or inflammation. The patient's family history was negative for psoriasis, however, his brother, a 29‐year‐old healthy man, also presented digital clubbing. The diagnosis of pachydermoperiostosis coexistent with ungual and cutaneous manifestations of psoriasis vulgaris was made. The differential diagnosis with psoriatic onycho‐pachydermo‐periostitis, as well as other clinical conditions that involve the distal interphalangeal joints is discussed.