Orthopedic Symptoms in Pustular Bacterid (Pustulosis Palmaris Et Plantaris): Tietze's Syndrome and Arthritis of Manubriosternal Joint Due to Focal Infection

Abstract

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

Characteristics of Japanese patients with pustulotic arthro‐osteitis associated with palmoplantar pustulosis: a multicenter study

“…Arthro-osteitis is a major comorbidity of PPP. 4 Previous studies have reported the prevalence of PAO in PPP patients as 20-30%; [5][6][7] however, these studies were conducted in a single university hospital or referral center. This is the first multicenter study of PAO in Japan, which analyzed a large number of PAO patients.…”

Four Cases of Pustulotic Arthro‐Osteitis

“…Sonozaki et al postulated that pustulosis palmoplantaris with sternal arthritis constitutes an entity independent from psoriasis and coined the term "pustulotic arthro-osteitis" (l). The incidence of arthro-osteitis in patients with pustulosis palmoplantaris was reported to be from 10% to 30% (2)(3)(4). Although pustulotic arthro-osteitis is frequent inJapan and Scandinavia, it has been considered rare among Caucasians (2)(3)(4).…”

“…The incidence of arthro-osteitis in patients with pustulosis palmoplantaris was reported to be from 10% to 30% (2)(3)(4). Although pustulotic arthro-osteitis is frequent inJapan and Scandinavia, it has been considered rare among Caucasians (2)(3)(4). The female/male ratio in Japanese studies was 1.…”

Palmoplantar Pustulosis with Pustulotic Arthroosteitis Involving Temporal Osteomyelitis and Meningitis

“…Orthopedic symptoms related to PPP were first described by Ishibashi et al in 1977 (1). The same disorder was previously reported in 1975 from orthopedists as a new symptom complex "sterno-costo-clavicular hyperostosis" (2).…”