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Article
May 1992

Familial Cases of Pustulosis Palmoplantaris With Arthrosteitis

Author Affiliations

Department of Dermatology Hiroshima Red Cross Hospital Senda-machi 1 Naka-ku, Hiroshima 730, Japan

Arch Dermatol. 1992;128(5):699-700. doi:10.1001/archderm.1992.01680150133025
Abstract

To the Editor.—  Pustulosis palmoplantaris is a chronic skin disease of unknown origin, with intradermal, sterile pustules of the palms and soles. Pustulosis palmoplantaris is considered to be related with infectious disease and often associated with arthrosteitis.1,2 Both diseases seem not to be related to the hereditary diathesis. Herein is described a woman and her daughter.

Report of Cases.—Case 1.—  In August 1989, a 59-year-old Japanese woman was referred for evaluation of nonpruritic eruptions on her palms and soles and mild pain in the right sternoclavicular region that had been present for 10 days. Findings from her physical examination showed that the individual lesions on her palms and soles consisted of scattered vesicles and pustules and that her right sternoclavicular joint was tender. Bacterial and fungal cultures from the skin lesions were negative. Roentgenograms showed no abnormalities. Skeletal scintigraphy showed high activity in the anterior part

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