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© 1993 British Society for Rheumatology

case-report

ANTERIOR MEDIASTINAL FIBROSIS WITH SUPERIOR VENA CAVAL OBSTRUCTION COMPLICATING THE SYNOVITIS—ACNE—PUSTULOSIS—HYPEROSTOSIS—OSTEOMYELITIS SYNDROME

T. CUNNINGHAM, J. FARRELL, D. VEALE and O. FITZGERALD

Department of Rheumatology, St Vincent's Hospital Dublin, Eire

Correspondence to: Correspondence to: Oliver FitzGerald, Department of Rheumatology, St Vincent's Hospital, Elm Park, Dublin 4, Eire

A syndrome of predominantly palmo-plantar pustular psoriasis associated with anterior chest wall (sternoclavicular, manubriosternal) inflammation has previously been described. In this case, a further patient is reported where chest wall involvement is complicated by anterior mediastinal fibrosis and superior vena caval obstruction.

KEY WORDS: Mediastinal fibrosis, superior vena caval obstruction, Synovitis-acne-pustulosis-hyperostosis-osteomyelitis syndrome


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