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Hypertrophic osteoarthropathy,tuberculoma of brain and cyanotic heart disease
Authors:D Ray  R K Menon  P S N Menon  G Gupta  S Shrivastava  R Tandon
Institution:(1) Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, 110 029 New Delhi;(2) Departments of Radiology, All India Institute of Medical Sciences, New Delhi;(3) Departments of Cardiology, All India Institute of Medical Sciences, New Delhi
Abstract:A nine year old girl with tetralogy of fallot was admitted with right sided focal seizures and tender, swollen right elbow and knee joints. During the hospital stay there was no improvement. The patient deteriorated and died 25 days following admission. Radiological survey showed characteristic features of hypertrophic osteoarthropathy. Brain biopsy showed granulomas consistent with tuberculoma. The association of hypertrophic osteoarthropathy and cyanotic congenital heart disease is being increasingly recognised. The association of hypertrophic osteoarthropathy with tuberculoma of brain has not been reported earlier.
Keywords:Hypertrophic osteoarthropathy  Tuberculoma  cyanotic congenital heart disease
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