Soft tissue involvement, mediastinal pseudotumor, and venous thrombosis in pustulotic arthro-osteitis. A study of eight new cases.

Abstract:

:A syndrome of hyperostosis of the thoracic wall, nonspecific signs of inflammatory disease, and palmar and plantar pustulosis is described in eight patients (Table 1). Seven had intersternocostoclavicular ossification, and one had chronic recurrent multifocal osteomyelitis. This complex of findings has been called "pustulotic arthro-osteitis". This report emphasizes the periosseous soft tissue inflammation and the unexplained subclavian and mediastinal vein thrombosis seen in two patients. Inflammatory periosseous and mediastinal lesions were seen on plain films in all eight patients and on computed tomographic (CT) scans in seven. Radiographs of the spine showed a spondyloarthropathy in three patients. This was characterized by ossification of the vertebral ligaments and sclerosis of the vertebral bodies. Awareness of the radiologic features of pustulotic arthro-osteitis is important because the clinical, biochemical and pathologic findings are often nonspecific and misleading.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

van Holsbeeck M,Martel W,Dequeker J,Favril A,Gielen J,Verschakelen J,Hoogmartens M

doi

10.1007/BF00366761

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

1-8

issue

1

eissn

0364-2348

issn

1432-2161

journal_volume

18

pub_type

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