Dermatitis-arthritis syndromes jeweilige Dermatose

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

Dieser Artikel auf Deutsch


DA Syndromes; Rheumatism Skin changes

This section has been translated automatically.

  • Today, the collective term "rheumatism" covers diseases of the musculoskeletal system with a wide variety of causes, courses and therapeutic approaches. As systemic diseases, they can involve the integument to varying degrees or the integumentary changes can completely overlay the rheumatic affections. These clinical pictures apostrophized as dermatitis-arthritis syndromes (DA syndromes) cannot be addressed as a uniform disease group due to their great variability. This is understandable if one considers the multifactorial genesis of rheumatic clinical pictures. The skin symptoms themselves are often unspecific in nature, but can be macro- and also micromorphologically so characteristic that on the one hand they already allow a suspected diagnosis and on the other hand can be used as the main criterion or "leading symptom" of a rheumatic disease. This applies for example to psoriasis arthropathica, to the skin and mucous membrane alterations of the Reiter syndrome (Balanitis circinata, Keratoderma blenorrhagicum), to the M. Behçet (recurrent aphthae, genital ulcers, subcutaneous thrombophlebitis, sterile pustules, pathergy phenomenon), but also for some clinical pictures from the group of autoimmune diseases, the sweet syndrome and diseases from the group of vasculitides. It is important to know these monitoring symptoms or diseases in order to arrive at a reliable diagnosis in a synoptic evaluation.
  • It should also be noted that sometimes it is only the complicated therapies of rheumatic diseases that lead to a dermatological symptomatology, such as the therapies with NSAIDs (urticaria, angioedema and vasculitides), glucocorticoids (skin atrophy and skin bleeding) or with immunosuppressive drugs (pyodermias, pyoderma gangraenosum, severe generalized HPV infections of the skin). These side effects can lead to diagnostic errors. For these reasons, every patient with unclear rheumatic symptoms must be questioned and examined in great detail.

This section has been translated automatically.

The following tabular compilation of the extremely heterogeneous group of dermatitis-arthritis syndromes evaluates the symptom constellation "skin and joint symptoms" with clinical diagnoses and leading symptoms.


Please ask your physician for a reliable diagnosis. This website is only meant as a reference.


Last updated on: 29.10.2020