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- W1957100768 abstract "Conflict of interest: none declared. A 43‐year‐old man presented with a 3‐month history of multiple, asymptomatic, small papules on his palms and soles. His medical history was unremarkable except for scalp psoriasis, obesity grade II (body mass index 35.4 kg/m2) and hyperuricaemia. He had been diagnosed 2 years previously as having chronic and erosive polyarticular psoriatic arthritis, and treatment of this condition with high doses of prednisone and indometacin, methotrexate 25 mg weekly, and leflunomide 100 mg per day had previously failed. Monotherapy with etanercept 25 mg twice a week was then started, and the cutaneous lesions had begun to develop 3 months later. There was no history of renal dysfunction or previous intake of ciclosporin or diuretics. On physical examination, numerous small whitish to yellowish solid papules were seen, which were diffusely but symmetrically distributed on the palms and palmar surfaces of the fingers of both hands (Fig. 1a). There were few similar lesions on the medial surfaces of both great toes (Fig. 1b)." @default.
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- W1957100768 date "2012-05-14" @default.
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- W1957100768 title "Joint destruction and presence of small papules on the palms and soles" @default.
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