Korean J Med > Volume 80(2); 2011 > Article
The Korean Journal of Medicine 2011;80(2):310-313.
Dactylitis in a Patient with Psoriatic Arthritis Treated with Infliximabq
Dam Kim1, Il Woong Sohn1, Jin Ju Kim1, Yun-Young Choi2, Kyong-Hee Jung1,3, Tae Hwan Kim1,3, Yoon-Kyoung Sung1,3
Infliximab으로 치료한 건선 관절염 환자의 지염 1예
김담1, 손일웅1, 김진주1, 최윤영2, 정경희1,3, 김태환1,3, 성윤경1,3
Abstract
Dactylitis is a hallmark feature of psoriatic arthritis. It is usually managed with non-steroidal anti-inflammatory drugs and oral corticosteroids. Some cases have been treated successfully with intravenous corticosteroids or some disease-modifying antirheumatic drugs. Recently, inflximab has been reported as an effective treatment for dactylitis that is resistant to conventional treatment. This report describes a 37-year-old man with psoriatic arthritis who had multiple dactylitis on both thumbs and great toes. He was resistant to conventional treatment but was effectively treated with infliximab. This report highlights the effectiveness of infliximab for dactylitis, and the usefulness of blood pool imaging from bone scans as a method for determining treatment response.
Key Words: Arthritis, Psoriatic; Dactylitis; Infliximab


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