Psoriasis with Acro-Osteolysis

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Abstract
ACRO-osteolysis, without associated articular inflammation, has been observed in a patient presenting cutaneous lesions of psoriasis. Lysis of bone followed trauma to the distal aspect of the involved phalanges. This finding adds to the evidence already available that psoriasis is a systemic disease.1 Its peculiar localization to various tissues is "triggered" by trauma whether chemical or physical. Certainly, its localization to the cutaneous system after physical stimuli was noted over a hundred years ago by many observing physicians, and particularly, by Kobner,2 , 3 in 1872. Localization in articular tissue, as in psoriatic arthritis, has been of great interest to the rheumatologists, . . .

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