Document Detail

Differential diagnosis of acute dactylitis psoriatica.
MedLine Citation:
PMID:  3734575     Owner:  NLM     Status:  MEDLINE    
A bulbous or "sausage-shaped" finger may represent a special type of psoriatic arthritis without any rheumatoid factor activity. Dactylitis psoriatica must be suspected in cases of arthralgias progressing along the phalanges of a finger associated with global soft tissue swelling. Acute dactylitis psoriatica is characterized by an intermittent course combined with psoriatic and partly extremely mild or masked skin and nail changes. X-rays findings are spicular protuberances at diaphyses in a "cloudy collar" image. Symptomatic treatment of dactylitis psoriatica consists of non-steroidal antirheumatic drugs or basic gold salt therapy. In the interval additional surgical treatment using arthro-plasties and arthrodeses is indicated in cases of joint destruction. Amputation of the affected finger is not to be considered as a mandatory causal therapy of dactylitis psoriatica.
P Brenner; C Tizian
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  11     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  1986 Jun 
Date Detail:
Created Date:  1986-09-17     Completed Date:  1986-09-17     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  265-8     Citation Subset:  IM    
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MeSH Terms
Anti-Inflammatory Agents / therapeutic use
Arthritis / diagnosis*,  therapy
Diagnosis, Differential
Diclofenac / therapeutic use
Middle Aged
Osteitis / diagnosis
Paronychia / diagnosis
Physical Therapy Modalities
Psoriasis / diagnosis*,  therapy
Reg. No./Substance:
0/Anti-Inflammatory Agents; 15307-86-5/Diclofenac

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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