Abstract
An 18-year-old male presented to the rheumatology clinic with a history of severe inflammatory back pain (more on left side), and pain and swelling in left shoulder, elbows, right ankle, and in right 3 rd distal inter-phalangeal joint since last three months. He had been treated earlier with NSAIDS and sulfasalazine for seronegative spondlyoarthropathy; but there was no relief for pain or other symptoms. The present physical examination revealed the classical ‘oil drop sign’ and a band of erythema in the nail of the middle finger, indicating the nail changes associated with psoriatic arthritis (Fig 1). He was started on methotrexate and one month of treatment showed significant improvement in disease symptoms. The case vignette signifies the need for conducting nail examination in routine rheumatology practice.
Highlights
An 18-year-old male presented to the rheumatology clinic with a history of severe inflammatory back pain, and pain and swelling in left shoulder, elbows, right ankle, and in right 3rd distal inter-phalangeal joint since last three months
He had been treated earlier with NSAIDS and sulfasalazine for seronegative spondlyoarthropathy; but there was no relief for pain or other symptoms
The present physical examination revealed the classical ‘oil drop sign’ and a band of erythema in the nail of the middle finger, indicating the nail changes associated with psoriatic arthritis (Fig 1)
Summary
An 18-year-old male presented to the rheumatology clinic with a history of severe inflammatory back pain (more on left side), and pain and swelling in left shoulder, elbows, right ankle, and in right 3rd distal inter-phalangeal joint since last three months.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Internet Journal of Rheumatology and Clinical Immunology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
