Psoriasis?

14 years Male with history of generalised eruptions, polyarthritis with sacroileitis , dactylitis ,and unable to walk with severe low back pain since 1 year .Associated with infective lesions over legs and foot with seropurulent discharge . Diagnosis of Reiter 's disease is made with D/D as Psoriatic arthritis. ankylosing spondylitis. Patient is on wheel chair since 6 months. Opinion. diagnosis and further management

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Age 14 years is too early to have psoriatic, or Ankylosing arthritis. Still investigations can help in reaching final diagnosis. Skin lesions are in more favour of Psoriasis.

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It seems to be a case of psoriasis with psoriatic arthritis.

The diagnosis seems to be Skin Psoriasis with Psoriatic Spondyloarthopathy. I would do biopsy of the skin llesion and if Psoriasis is confirmed the patient will require biological DMARDS. I would prefer sicukinumab tto anti tnf therapy. That will heal her skin and arthritic lesions.

This is a case on Spondyloarthropathy with Keratoderma Bellanoroegica. Rheiter’s Stndrome has the triad of Conjuctivitis (/Uveitis), Urethritis, Dermitis with arthritis typically involving Sacroiliac joints in young males. Get his HLA B27 done.

Systemic LUPUS erythamatous...MMF+Oral Steroids ....then Biologicals

Mass ..left middle zone.. Bronchogenic Carcinoma with secondaries brain

Caseof Reiter's disease.

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EXTENSIVE PSOROASIS EXTENSOR FLEXOR JOINTS NAILS

Psoriatic arthritis

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? Lichen Amyloiosis ? Psoriaotic Arthritis

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