TY - JOUR T1 - Acute Presentation of Arthritis Mutilans JF - The Journal of Rheumatology JO - J Rheumatol SP - 174 LP - 175 DO - 10.3899/jrheum.100579 VL - 38 IS - 1 AU - LEANN BELL AU - CLAIRE-LOUISE MURPHY AU - BAIRBRE WYNNE AU - GAYE CUNNANE Y1 - 2011/01/01 UR - http://www.jrheum.org/content/38/1/174.abstract N2 - Arthritis mutilans (AM) is a rare condition that develops in approximately 5% of patients with psoriatic arthritis (PsA)1. It is characterized by marked osteolysis, resulting in the classic “pencil-in-cup” radiographic appearance and clinical evidence of digit shortening. We describe a patient who developed AM after many years of psoriasis.A 34-year-old woman, with psoriasis for 21 years, presented with a 3-month history of worsening rash … ER -