Generalized nonspecific Pustular Lesions in Tietze's syndrome
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CitationKarabudak, Ö., Nalbant, S., Ulusoy, R. E., Doğan, B. ve Harmanyeri, Y. (2007). Generalized nonspecific Pustular Lesions in Tietze's syndrome. Journal of Clinical Rheumatology, Wolters Kluwer. 13(5), s. 300-301.
Tietze's syndrome (TS) was defined as a nonsuppurative, benign, and self-limited arthropathy characterized by tenderness and painful swelling of one or more sternocostal, costochondral, or sternoclavicular joints in the absence of other possible causes.1 This clinical entity should not be confused with other chest wall pain in which there is no swelling.2,3 This disease can usually be seen in young people.1 Although the etiopathogenesis is not well known, symptoms generally follow microtraumas and/or respiratory tract infections.4 It is estimated that somewhere in the vicinity of 20%–25% of noncardiac chest pain has a musculoskeletal basis.5–8 Such a symptom generates anxiety in both patients and their medical attendants for fear that this symptom represents a life-threatening event, such as an acute coronary syndrome. Dermatologic comorbidities with TS have been reported previously, such as palmoplantar pustulosis (PPP) and psoriasis vulgaris.4,9 The majority of PPP associated with TS has skin eruptions not only confined to the palms and soles but also on the backs of hands and feet, the arms, the legs, and the trunk.9 Our patient with TS had pustular lesions that clinically resembled pustular psoriasis at a first glance. These should be recognized as a potential part of TS that as in our case may resolve with nonsteroidal anti-inflammatory drug therapy.
SourceJournal of Clinical Rheumatology
- Makale Koleksiyonu