Reiter’s disease – gross palmar and plantar lesions may occur (keratoderma blennorrhagica) which are histologically indistinguishable from psoriasis. Septic arthritis, however, can present with group II synovial fluid, particularly if infection. Patients with active joint disease often have palmar erythema. Keratoderma blennorrhagica of the soles due to reactive arthritis (Reiter syndrome). Lesions: small, grouped vesicles that can occur anywhere but most often on vermillion border of the lips, penile shaft, labia, perianal skin, buttocks. Mouth ulcers, inflammation of the eye, keratoderma blennorrhagica, these are patches of scaly skin on the palms, soles, trunk, or scalp of RS patients Term 40c. Skin manifestations/abnormalities in tophaceous gout Definition erupting through the skin, exposing its gross histological chalky white appearance is not uncommon.
Rheumatology – Autoimmune diseases. Bone marrow suppression rarely occurs but may develop in elderly patients treated with low doses of this agent. Triad of Reactive arthritis / Reiter syndrome. The slow onset of painful swelling in the knee of an elderly patient may reflect the presence of osteoarthritis. Examples of inflammatory polyarthritides (arthritic conditions that affect 4 or more joints) include the autoimmune diseases, such as rheumatoid arthritis or systemic lupus Erythematosus, and the forms of arthritis associated with the human leukocyte antigen B27 (HLA-B27) gene, such as ankylosing spondylitis and the arthritis associated with the skin disease, psoriasis. Pain vaguely localized to a joint in which a careful examination cannot identify a specific structure of origin may be due to referred pain or a bone lesion. Acute: Fracture, septic arthritis, gout, rheumatic fever, Reiter’s syndrome. Two main structural types of bone occur in the normal adult skeleton. Large complexes of aggrecan and hyaluronan can form in cartilage with a total molecular weight in excess of 100 million. Clinically and histologically, these lesions are indistinguishable from pustular psoriasis.
Plate 10 Koebner phenomenon in psoriasis due to injury. Plate 14 Plantar keratoderma. Plate 34 A neuropathic ulcer on the plantar surface of the foot. The location of joint involvement can also be distinctive. Psoriasis B. Decreased renal clearance of uric acid 1. Plantar flexion of foot.