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Idiopathic Palmar Fasciitis with Polyarthritis Syndrome (Visit this link)
J Korean Med Sci 2006; 21: 1128-32
Yoon-Kyoung Sung, Moon-Hyang Park*,
Dae-Hyun Yoo
Department of Internal Medicine, Division of
Rheumatology and the Hospital for Rheumatic
Diseases, Department of Pathology*, Hanyang
University College of Medicine, Seoul, Korea
A 31-yr-old Korean woman was presented with 4-month history of bilateral hand
swelling and stiffness. On clinical examination, she had a painful synovitis of both
hands, wrists, knees and ankles. The radiologic and histological examinations con-
firmed it with palmar fasciitis and polyarthritis syndrome (PFPAS). PFPAS is an un-
common disorder characterized by progressive flexion contractures of both hands,
inflammatory fasciitiis, fibrosis, and a generalized inflammatory arthritis. Although
most reported cases of PFPAS have been associated with various malignancies,
our patient have not been associated with malignancy during 24 months follow up
period from her first symptom onset. Her symptoms were improved with moderate
dose of corticosteroid and she is currently taking prednisone 5 mg daily without any
evidence for internal malignancy. We present here in a young Korean patient with
idiopathic PFPAS who was successfully treated with administration of corticosteroid.
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