Clinical features of 53 cases with pustulotic arthro-osteitis. Issue 6 (December 1981)

• Record Type: Journal Article
• Authors: Sonozaki, H; Mitsui, H; Miyanaga, Y; Okitsu, K; Igarashi, M; Hayashi, Y; Matsuura, M; Azuma, A; Okai, K; Kawashima, M
• Is Part Of: Annals of the rheumatic diseases. Volume 40:Issue 6(1981)
• Page Start: 547
• Page End: 553
• Publication Date: 1981-12
• Subjects: Rheumatism -- Periodicals; 616.723005
• DOI: 10.1136/ard.40.6.547
• Languages: English
• ISSNs: 0003-4967

Abstract

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.