Abstract
Objective: Record the case of a patient with psoriatic arthritis who evolved with multiple mutilations in the hands, bilateral shoulder joints, bilateral wrists, and feet, not adhering to treatment by medical teams. Case details: This is a case report based on the analysis of information obtained by review in the medical records of a patient who was interviewed during a home visit. Such data collected are related to the time interval between 2011 and 2020, in a city in the interior of São Paulo. The patient was female, 62 years old, in 2020. She started with a picture of scaly dermatological lesions in the region of the buttocks and scalp. As it took her a long time to look for adequate treatment and in sequence she did not follow the medical guidelines, the lesions progressed and the patient began to present generalized pain and asthenia, in addition to the late sequelae described throughout the text. Final considerations: In view of the difficulty in adhering to the treatment, the patient had irreversible sequelae in her hands and feet, such as deformities and restricted movement in the lower limbs and upper limbs.