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Case Number 29: Hitting three with one strike: rapid improvement of psoriatic arthritis, psoriatic erythroderma, and secondary renal amyloidosis by treatment with infliximab (Remicade)
  1. C Fiehn1,
  2. K Andrassy2
  1. 1Department of Internal Medicine V, University Hospital of Heidelberg, Germany
  2. 2Department of Internal Medicine I, Section of Nephrology, University Hospital of Heidelberg, Germany
  1. Correspondence to:
    Dr C Fiehn
    Department of Internal Medicine V, University of Heidelberg, Hospitalstr. 3, 69123 Heidelberg, Germany; christoph_fiehn{at}med.uni-heidelberg.de

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A 64 year old woman presented with a 30 year history of psoriasis vulgaris and polyarticular psoriatic arthritis as well as a newly diagnosed renal insufficiency. At the physical examination she showed severe psoriatic erythroderma (fig 1A) and signs of destructive polyarthritis of the joints of the fingers and feet. Radiology disclosed almost complete ankylosis of both wrists, and high grade …

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  • Series editor: Gary D Wright