@article{oai:uoeh-u.repo.nii.ac.jp:00000981,
 author = {杉野, 仁美 and 澤田, 雄宇 and Sugino, Hitomi and Sawada, Yu},
 issue = {4},
 journal = {産業医科大学雑誌, Journal of UOEH},
 month = {Dec},
 note = {30歳，女性．初診の5年前より全身の倦怠感ならびに関節痛を自覚していた．同時期から手背や肘など間擦部中心に角化した皮膚病変が出現した．乾癬性関節炎を疑われ，当院皮膚科を紹介され受診した．初診時，右手背，右肘，左膝に角化を有する褐色調の局面を認めた．右手背の角化性局面から皮膚生検を実施したが診断確定には至らず，右肘の皮疹から再度生検を実施し，乾癬の診断に至った．乾癬の診断が疑わしければ，部位を変えての再生検の実施は重要であると考えられる．
A 30-year-old woman had recognized general fatigue and joint pain 5 years before her first visit to our hospital. Keratinized skin lesions were also observed on her hand, elbows, and other interstitial sites at the same time. She was referred to our department for evaluation of her skin eruption because psoriatic arthritis was suspected. A physical examination revealed hyperkeratotic, brownish plaques on her hand, elbows, and knees. Although a skin biopsy taken from her right hand could not confirm a diagnosis, another biopsy taken from her right elbow revealed hyperkeratosis and parakeratosis with agranulosis epithelial hyperplasia, indicating a diagnosis of psoriasis. Taking an additional skin biopsy from a site other than the main one can be helpful for a diagnosis of psoriatic arthritis.},
 pages = {385--388},
 title = {再生検により診断確定に至った乾癬性関節炎の 1例},
 volume = {44},
 year = {2022},
 yomi = {スギノ, ヒトミ and サワダ, ユウ}
}