Psoriatic arthritis affecting the manubriosternal join

Authors

  • Nancy J. Becker MD,

    1. Departments of Internal Medicine and Diagnostic Radiology, University of Kansas College of Health Sciences and Hospital, Kansas City
    2. Department of Medicine, University of Kansas School of Medicine-Wichita
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  • Arthur A. De Smet MD,

    1. Departments of Internal Medicine and Diagnostic Radiology, University of Kansas College of Health Sciences and Hospital, Kansas City
    2. Department of Medicine, University of Kansas School of Medicine-Wichita
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  • William Cathcart-Rake MD,

    1. Departments of Internal Medicine and Diagnostic Radiology, University of Kansas College of Health Sciences and Hospital, Kansas City
    2. Department of Medicine, University of Kansas School of Medicine-Wichita
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  • Daniel J. Stechschulte MD

    Corresponding author
    1. Departments of Internal Medicine and Diagnostic Radiology, University of Kansas College of Health Sciences and Hospital, Kansas City
    2. Department of Medicine, University of Kansas School of Medicine-Wichita
    • Division of Allergy, Clinical Immunology & Rheumatology, Department of Medicine, Room 4035B, University of Kansas Medical Center, College of Health Sciences and Hospital, 39th Street at Rainbow Boulevard, Kansas City, KS 66103
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Abstract

Manubriosternal synovitis in the absence of peripheral arthritis or spondylitis, in a patient with pustular psoriasis, is described. The radiologic changes noted on lateral chest radiograph consisted of erosions, sclerosis, and joint space widening. This coincidence of manubriosternal joint arthritis and pustular psoriasis is unusual in western populations.

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