Refractory adhesive capsulitis under acitretin therapy
Title:
Refractory adhesive capsulitis under acitretin therapy
Author:
Lahner, Matthias von Schulze Pellengahr, Christoph Teske, Wolfram Lichtinger, Thomas Karl von Engelhardt, Lars Victor Daniilidis, Kiriakos Lahner, Nina
Appeared in:
Technology & health care
Paging:
Volume 21 (2013) nr. 3 pages 265-269
Year:
2013-03-11
Contents:
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.