Kosin Med J.  2024 Dec;39(4):290-293. 10.7180/kmj.24.128.

Sonozaki syndrome (pustulotic arthro-osteitis) causing anterior chest pain: a case report

• Ko TY

• KMID: 2562813
• DOI: http://doi.org/10.7180/kmj.24.128

Abstract

Sonozaki syndrome is an exceptionally rare chronic rheumatic disorder characterized by pustulosis on the palms and soles, as well as arthritis and osteitis. This syndrome belongs to the category of spondyloarthritis, which includes psoriatic arthritis. Pustules are concentrated on the palms and soles, whereas arthro-osteitis predominantly affects the sternoclavicular and costochondral joints. This report presents the case of a 32-year-old man with a 2-month history of worsening anterior chest wall pain and pustular eruptions on the palms and soles.

Keyword

Arthritis; Case reports; Chest pain; Osteitis; Pustulosis

Figure

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  Fig. 1. Numerous erythematous lesions with pustules, blisters, and thick yellow scales are evident on the palm (A) and sole (B). Bone scan with 99mTC shows increased uptake in the affected ribs (red arrows) (C).

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  Fig. 2. Skin biopsy shows superficial perivascular dermatitis with subcorneal pustules (hematoxylin and eosin stain, ×200).

Reference

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