An old woman with chronic palmar dermatosis, rheumatism, and nail changes

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Vitorino Modesto dos Santos *
David Lima Pedrosa
Leonardo Abreu Soares Ferreira
Mariely Fernanda Silva Helbingen
(*) Corresponding Author:
Vitorino Modesto dos Santos | vitorinomodesto@gmail.com

Abstract

Psoriasis is a chronic inflammatory condition with variable changes on the skin and nails, sometimes associated with osteoarticular manifestations characterizing the psoriatic arthritis. This arthritis may precede, follow, or be concomitant with the skin lesions of psoriasis. Unsuspected psoriatic arthritis may be misdiagnosed by other seronegative spondyloarthritis, mainly in primary care attention, and ominous outcomes are related to late and inadequate management. Therefore, diagnostic exercises with base on significant clinical and radiological images might contribute to enhance the suspicion index about these challenging conditions.

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Author Biographies

Vitorino Modesto dos Santos, Internal Medicine Department of Armed Forces Hospital, Brasília-DF; Catholic University Medical Course, Brasília-DF

Internal Medicine Department

David Lima Pedrosa, Department of Rheumatology, Brazilian Air Force Hospital, Brasília-DF

Preceptor of Rheumatology

Leonardo Abreu Soares Ferreira, Internal Medicine Department of Armed Forces Hospital, Brasília-DF

Medical Resident of Internal Medicine

Mariely Fernanda Silva Helbingen, Internal Medicine Department of Armed Forces Hospital, Brasília-DF

Medical Resident of Internal Medicine

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