PALMOPLANTAR PUSTULOSIS ASSOCIATED WITH STERNOCOSTOCLAVICULAR HYPEROSTOSIS

Palmoplantar pustulosis associated with sternocostoclavicular hyperost osis is characterized by asymmetrical and nonerosive involvement of th e sternocostoclavicular joint, spine, and peripheral joints in associa tion with palmoplantar pustulosis.(1) This seronegative arthrosteitis has been most frequently described in the rheumatologic literature. Ma le and female patients are affected eqully, but there tends to be a hi gher prevalence in Japan and Scandinavian countries.(1) We present a c ase of a 50-year-old man who presented with palmoplantar pustulosis th at preceded his sternocostoclavicular hyperostotic symptoms by 1 to 2 years.