RT Journal Article
SR Electronic
T1 Palmoplantar pustulosis and sternocostoclavicular arthro-osteitis.
JF Annals of the Rheumatic Diseases
JO Ann Rheum Dis
FD BMJ Publishing Group Ltd and European League Against Rheumatism
SP 809
OP 815
DO 10.1136/ard.47.10.809
VO 47
IS 10
A1 Edlund, E
A1 Johnsson, U
A1 Lidgren, L
A1 Pettersson, H
A1 Sturfelt, G
A1 Svensson, B
A1 Theander, J
A1 Willén, H
YR 1988
UL http://ard.bmj.com/content/47/10/809.abstract
AB Seventeen patients with shoulder pain and radiographic involvement of the sternoclavicular or sternocostal joints, or both, are described. Eleven of these patients also had palmoplantar pustulosis. Histological examination of the joints showed chronic and subacute inflammation, increased osteoblastic activity, and cartilage degeneration. Propionibacterium acnes was cultured in tissue samples from seven of the 15 biopsied patients, a finding at variance with those of previous reports. The possibility that sternoclavicular arthro-osteitis is of infectious origin should be the subject of further investigation. Non-steroidal anti-inflammatory drugs (NSAIDs) may provide pain relief, possibly owing to their inhibitory action on osteoblasts. In cases of severely restricted movement or severe pain resection of the medial clavicle may be considered.