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An old woman with chronic palmar dermatosis, rheumatism, and nail changes

Vitorino Modesto dos Santos, David Lima Pedrosa, Leonardo Abreu Soares Ferreira, Mariely Fernanda Silva Helbingen
  • Vitorino Modesto dos Santos
    Internal Medicine Department of Armed Forces Hospital, Brasília-DF; Catholic University Medical Course, Brasília-DF, Brazil | vitorinomodesto@gmail.com
  • David Lima Pedrosa
    Department of Rheumatology, Brazilian Air Force Hospital, Brasília-DF, Brazil
  • Leonardo Abreu Soares Ferreira
    Internal Medicine Department of Armed Forces Hospital, Brasília-DF, Brazil
  • Mariely Fernanda Silva Helbingen
    Internal Medicine Department of Armed Forces Hospital, Brasília-DF, Brazil

Abstract

Psoriasis is a chronic inflammatory condition with variable changes on the skin and nails, sometimes associated with osteoarticular manifestations characterizing the psoriatic arthritis. This arthritis may precede, follow, or be concomitant with the skin lesions of psoriasis. Unsuspected psoriatic arthritis may be misdiagnosed by other seronegative spondyloarthritis, mainly in primary care attention, and ominous outcomes are related to late and inadequate management. Therefore, diagnostic exercises with base on significant clinical and radiological images might contribute to enhance the suspicion index about these challenging conditions.

Keywords

Dermatosis; nail changes; rheumatism.

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Submitted: 2016-11-23 20:55:39
Published: 2017-02-28 00:00:00
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Copyright (c) 2017 Vitorino Modesto dos Santos, David Lima Pedrosa, Leonardo Abreu Soares Ferreira, Mariely Fernanda Silva Helbingen

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