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- Title
Refractory adhesive capsulitis under acitretin therapy.
- Authors
Lahner, Matthias; von Schulze Pellengahr, Christoph; Teske, Wolfram; Lichtinger, Thomas Karl; von Engelhardt, Lars Victor; Daniilidis, Kiriakos; Lahner, Nina
- Abstract
BACKGROUND: Adhesive capsulitis (AC) is characterized by a limited active and passive motion. Although the exact pathology remains unknown, a number of contributing factors are discussed.OBJECTIVE: AC has probably been caused by the Re-PUVA therapy (PUVA irradiation plus acitretin) of a cutaneous T-cell lymphoma, type mycosis fungoides. Acitretin belongs to the group of retinoids and is often used in cornification disorders.METHODS: After non-successful initial conservative therapy with intraarticular steroid injections and physical therapy, a significant improvement of shoulder joint mobility was finally achieved by an arthroscopic juxtaglenoid capsulotomy and adhesiolysis.RESULTS: A therapy with acitretin should be considered as a possible trigger of AC.CONCLUSIONS: Patient's medication should be checked carefully on possible triggers of AC. The athroscopic adhesiolysis is an effective method for a frustrating conservative treatment of AC.
- Subjects
ADHESIVE capsulitis; RETINOIDS; T-cell lymphoma; MYCOSES; PHYSICAL therapy; STEROID drugs; MYCOSIS fungoides; THERAPEUTICS
- Publication
Technology & Health Care, 2013, Vol 21, Issue 3, p265
- ISSN
0928-7329
- Publication type
Article
- DOI
10.3233/THC-130721