Trauma-induced concomitant psoriatic arthritis and complex regional pain syndrome.
Complex regional pain syndrome
Neurogenic inflammation
Pro-inflammatory cytokines
Psoriatic arthritis
Synovio-entheseal complex
Trauma
Journal
Clinical rheumatology
ISSN: 1434-9949
Titre abrégé: Clin Rheumatol
Pays: Germany
ID NLM: 8211469
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
25
04
2019
accepted:
15
05
2019
revised:
12
05
2019
pubmed:
28
5
2019
medline:
18
12
2019
entrez:
26
5
2019
Statut:
ppublish
Résumé
To report the simultaneous occurrence of psoriatic arthritis (PsA) and chronic regional pain syndrome type I (CRPS I) both triggered by intense walking in a male golfer with a history of scalp psoriasis. Sequential existence of these two conditions have been reported in the literature; however, to our knowledge, this is the first report of a simultaneous occurrence of PsA and CRPS I. This case illustrates the complex interplay between genetic predisposition and environmental risk factors with the central nervous and immune systems. As the pathogenesis of PsA has been better understood in recent years, we propose a mechanism that explains how the release of pro-inflammatory cytokines and neuropeptides following a traumatic event elicits a vicious cycle that is a common ground for the development of both PsA and CRPS I. Even unperceived trauma, such as intense walking, when directed to the synovio-entheseal complex, can precipitate the development of PsA and CRPS I in predisposed individuals.
Identifiants
pubmed: 31127464
doi: 10.1007/s10067-019-04612-3
pii: 10.1007/s10067-019-04612-3
doi:
Substances chimiques
Cytokines
0
Neuropeptides
0
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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