PMC5884280_01
Anterior and posterior planar images of a 99mTc MDP bone scan show increased radiotracer uptake within the medial left clavicle and manubrium centered upon the left sternoclavicular joint and bilateral 1st costomanubrial joints. There is also increased radiotracer uptake with the cervical spine.
CRIRH2018-3168452.001.jpg
PMC5884280_01_CRIRH2018-3168452.001.jpg
fig1
The patient also had a bone scan that showed increased radiotracer uptake within the medial left clavicle and manubrium centered upon the left sternoclavicular joint and bilateral 1st costomanubrial joints (Figure 1).
Photograph of the left palm demonstrating healed pustules. Similar findings were on the right palm.
CRIRH2018-3168452.002.jpg
PMC5884280_01_CRIRH2018-3168452.002.jpg
fig2
The patient also gave a history of rash involving palms and soles (Figures 2 and 3) and facial acne and was seen by a dermatologist in the past and diagnosed with palmoplantar pustular dermatosis.
Photograph of the left sole lesions demonstrating pustulosis. Similar findings were on the right sole.
CRIRH2018-3168452.003.jpg
PMC5884280_01_CRIRH2018-3168452.003.jpg
fig3
The patient also gave a history of rash involving palms and soles (Figures 2 and 3) and facial acne and was seen by a dermatologist in the past and diagnosed with palmoplantar pustular dermatosis.