Psoriatic arthritis with skin lesions localized to the scalp: A case report

Tetsuya Akaishi; Kenshi Yamasaki; Yu Mori; Toshiya Takahashi; Takuya Izumiyama; Hitoshi Terui; Michiaki Abe; Shin Takayama; Setsuya Aiba; Tadashi Ishii

doi:10.1002/jgf2.358

Psoriatic arthritis with skin lesions localized to the scalp: A case report

Tetsuya Akaishi, Kenshi Yamasaki, Yu Mori, Toshiya Takahashi, Takuya Izumiyama, Hitoshi Terui, Michiaki Abe, Shin Takayama, Setsuya Aiba, Tadashi Ishii

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

A 66-year-old man with a 2-year history of suspected scalp eczema with excessive dandruff developed painful swollen joints in the extremities. Four months after developing polyarthritis and polydactylitis, eczema gradually spread to the face. He was referred to our hospital for intractable scalp and facial eczema and polyarthritis. Based on the appearance of the head and facial skin lesions, psoriasis was suspected. Treatment with apremilast (a phosphodiesterase-4-inhibitor) was initiated, which swiftly alleviated the skin lesions. The joint deformities persisted, but the pain in the joints disappeared. This case implies that psoriatic arthritis should be suspected even if psoriatic skin lesions are localized to the scalp.

Original language	English
Pages (from-to)	264-267
Number of pages	4
Journal	Journal of General and Family Medicine
Volume	21
Issue number	6
DOIs	https://doi.org/10.1002/jgf2.358
Publication status	Published - 2020 Nov

Keywords

apremilast
dactylitis
polyarthritis
scalp psoriasis

ASJC Scopus subject areas

Internal Medicine
Geriatrics and Gerontology
Family Practice

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10.1002/jgf2.358

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title = "Psoriatic arthritis with skin lesions localized to the scalp: A case report",

abstract = "A 66-year-old man with a 2-year history of suspected scalp eczema with excessive dandruff developed painful swollen joints in the extremities. Four months after developing polyarthritis and polydactylitis, eczema gradually spread to the face. He was referred to our hospital for intractable scalp and facial eczema and polyarthritis. Based on the appearance of the head and facial skin lesions, psoriasis was suspected. Treatment with apremilast (a phosphodiesterase-4-inhibitor) was initiated, which swiftly alleviated the skin lesions. The joint deformities persisted, but the pain in the joints disappeared. This case implies that psoriatic arthritis should be suspected even if psoriatic skin lesions are localized to the scalp.",

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AU - Akaishi, Tetsuya

AU - Yamasaki, Kenshi

AU - Mori, Yu

AU - Takahashi, Toshiya

AU - Izumiyama, Takuya

AU - Terui, Hitoshi

AU - Abe, Michiaki

AU - Takayama, Shin

AU - Aiba, Setsuya

AU - Ishii, Tadashi

PY - 2020/11

Y1 - 2020/11

N2 - A 66-year-old man with a 2-year history of suspected scalp eczema with excessive dandruff developed painful swollen joints in the extremities. Four months after developing polyarthritis and polydactylitis, eczema gradually spread to the face. He was referred to our hospital for intractable scalp and facial eczema and polyarthritis. Based on the appearance of the head and facial skin lesions, psoriasis was suspected. Treatment with apremilast (a phosphodiesterase-4-inhibitor) was initiated, which swiftly alleviated the skin lesions. The joint deformities persisted, but the pain in the joints disappeared. This case implies that psoriatic arthritis should be suspected even if psoriatic skin lesions are localized to the scalp.

AB - A 66-year-old man with a 2-year history of suspected scalp eczema with excessive dandruff developed painful swollen joints in the extremities. Four months after developing polyarthritis and polydactylitis, eczema gradually spread to the face. He was referred to our hospital for intractable scalp and facial eczema and polyarthritis. Based on the appearance of the head and facial skin lesions, psoriasis was suspected. Treatment with apremilast (a phosphodiesterase-4-inhibitor) was initiated, which swiftly alleviated the skin lesions. The joint deformities persisted, but the pain in the joints disappeared. This case implies that psoriatic arthritis should be suspected even if psoriatic skin lesions are localized to the scalp.

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KW - dactylitis

KW - polyarthritis

KW - scalp psoriasis

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Psoriatic arthritis with skin lesions localized to the scalp: A case report

Abstract

Keywords

ASJC Scopus subject areas

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