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
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.
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.
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EXTENSIVE PSOROASIS EXTENSOR FLEXOR JOINTS NAILS
? Lichen Amyloiosis ? Psoriaotic Arthritis
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