Clinical features of 53 cases with pustulotic arthro-osteitis.

Authors:
  • HSH Sonozaki
    H Sonozaki
  • HMH Mitsui
    H Mitsui
  • YMY Miyanaga
    Y Miyanaga
  • KOK Okitsu
    K Okitsu
  • MIM Igarashi
    M Igarashi
  • YHY Hayashi
    Y Hayashi
  • MMM Matsuura
    M Matsuura
  • AAA Azuma
    A Azuma
  • KOK Okai
    K Okai
  • MKM Kawashima
    M Kawashima
Open Access
Publisher website
Google Scholar
Abstract
We have described clinical features of 53 cases with pustulotic arthro-osteitis. Anterior chest wall symptoms such as intersterno-costoclavicular or manubriosternal lesions were observed in all of 53 cases. Spondylitis or spondylodiscitis was found in 18 cases. Sacroiliitis resembling ankylosing spondylitis was seen in 7 cases. Peripheral inflammatory arthritis was seen in 14 cases, which were of nonerosive, of oligoarthritis type, and cured within 1 to 2 months, leaving no residue. HLA B27 was never found, and RAW factor was negative. Histological examinations revealed nonspecific chronic inflammation of bone and soft tissue. Pustulotic arthro-osteitis is apparently distinct from known rheumatic diseases such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and Reiter's disease. We have proposed that this condition should be classified as a member of the "seronegative spondylo-arthritis' group as designated by Wright and Moll.

This publication has 7 references indexed in Scilit: