Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 22095
  Title Heel pain due to psoriatic arthritis in a 50 year old recreational male athlete: Case report
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222704/
Journal J Can Chiropr Assoc. 2011 Dec;55(4):288-293
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes Heel pain is a common presentation in a sports injury practice, with a list of common differentials including achilles tendinopathy and retrocalcaneal bursitis. However, seronegative arthritis can also cause enthesopathies that produce heel pain and should be considered in a differential diagnosis list. In this case, a 50 year old recreationally active male presented with non-traumatic insidious heel pain and without history of any skin conditions or any other symptoms of seronegative spondyloarthritis. Clinical suspicion led to laboratory testing and radiographs / bone scan which yielded the diagnosis of psoriatic arthritis.
La douleur au talon est courante dans la pratique du sport, et comporte des variantes telles que la tendinopathie achilléenne et la bursite rétrocalcanéenne. Cependant, l’arthrite séronégative peut également causer des enthésopathies produisant une douleur au talon, et doit apparaître sur la liste des diagnostics différentiels. Dans ce cas, un homme de 50 ans actif de façon récréative ressentait une douleur insidieuse non traumatique au talon, et ses antécédents ne démontraient aucune maladie de la peau ou autres symptômes de spondylarthrite séronégative. Les soupçons cliniques ont mené à des tests en laboratoire et des radiographies / une scintigraphie osseuse qui ont permis de diagnostiquer le rhumatisme psoriasique.

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