Severe psoriatic dactylitis: when psoriasis involves beyond the skin

Husein‐ElAhmed, Husein

doi:10.4081/reumatismo.2016.886

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2022

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“…The pathophysiology of dactylitis has been attributed to synovitis, tenosynovitis, enthesitis, and soft tissue edema [15]. The prevalence of dactylitis is between 16% and 49% in patients with psoriatic arthritis [16][17].…”

Section: Introductionmentioning

confidence: 99%

Acute Psoriatic Exacerbation Secondary to Infected Pacemaker With Staphylococcus aureus and Candida lusitaniae?

Lalani¹,

Conrad²,

Shahab³

2022

Cureus

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Psoriasis is a lifelong chronic hyperproliferative inflammatory immune-mediated disorder. There is a strong association of psoriasis exacerbation with infection of Staphylococcus and Streptococcus species. In the case of our patient, a psoriatic flare manifesting as dactylitis occurred secondary to methicillin sensitive Staphylococcus aureus bacteremia colonization of his pacemaker. If a patient is started on an antibiotic regimen, such as vancomycin, and has symptoms of rash, and swelling in the fingers, it is imperative to ask for a proper rheumatologic history, as vancomycin infusion reaction (previously known as Red Man Syndrome) may not be the cause of the flare-up, such as in the case of our patient. Inversely, patients with psoriasis are more likely to be colonized by S. aureus on the skin and in the nasal cavity, and this can lead to bacteremia and infection of hardware, such as an automatic implantable cardioverter-defibrillator (AICD).

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Section: Introductionmentioning

confidence: 99%