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Generalized Psoriasis with Arthritis Deformans. Presented by Dr. Maurice Sullivan.
R. S., a man aged 25, from the service of Drs. Cole and Driver at the Lakeside Hospital, has had psoriasis since the age of 19 and has been treated with various local applications, including chrysarobin ointment and ointment of coal tar; he has also received roentgen radiation. There has been some temporary improvement from the use of these measures at various times. Five years ago his left wrist began to swell, and since then there has been a progressive involvement of practically all the bony joints, which are enlarged and almost completely ankylosed. The knees and the elbows are fixed in acute flexion. The jaws are involved and allow movement of only 2 or 3 cm., making it difficult for the patient to open his mouth wide enough to allow the passage of food. Attempts at movement of
Rauschkolb JE, Cummer CL, Driver JR. CLEVELAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1937;36(4):864–867. doi:10.1001/archderm.1937.01480040181020
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