Psoriatic fasciitis in a pediatric patient: A case report

作     者：Gulcin Otar Yener Zahide Ekici Tekin Selcuk Yuksel 

作者机构：Department of Pediatric RheumatologyPamukkale University School of Medicine 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2019年第7卷第1期

页      面：69-72页

核心收录：

学科分类：10[医学] 

主　　题：Case report Fasciitis Psoriasis Childhood Arthritis 

摘      要：BACKGROUND Diffuse fasciitis with psoriatic arthritis on magnetic resonance imaging(MRI) has not been previously described in childhood. Here we present the first case report of a pediatric patient developing fasciitis, beyond plantar fasciitis, with psoriatic *** SUMMARY An 11-year-old female was admitted with the complaints of psoriatic rash on the body associated with severe pain in the lower extremities and arthritis in the right knee. Psoriasis was confirmed by skin biopsy, she diagnosed with juvenile psoriatic arthritis. Diagnostic tests did not indicate any pathology except *** of the femur and tibia revealed that high-signal inflammatory changes in the subdermal fascia. These findings led to a diagnosis of psoriatic *** was given for 3 mo but the patient showed no response to therapy;therefore, etanercept was added. However, there was no response to *** was switched to adalimumab at the sixth month of therapy. Clinical improvement started with therapy of adalimumab within one month. Fasciitis finding in MRI disappeared at seventh months on adalimumab therapy. She has no complaint for two years with *** The most effective imaging method is MRI and adalimumab may be the best choice of treatment for psoriatic fasciitis.