Primary hypertrophic osteoarthropathy (pachydermoperiostosis): a case report |
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Authors: | Murat Karkucak Engin Erturk Erhan Capkin Hikmet Akyazi Gonca Ozden Mehmet Tosun |
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Affiliation: | (1) Department of Physical Medicine and Rehabilitation, Medical Faculty, Karadeniz Technical University, 61080 Trabzon, Turkey;(2) Department of Anaesthesiology and Intensive Care, Karadeniz Technical University, Trabzon, Turkey;(3) Department of Dermatology, Karadeniz Technical University, Trabzon, Turkey |
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Abstract: | Hypertrophic osteoarthropathy is characterized by digital clubbing and periosteal reaction of long bones. Most cases are associated with malignancy or other conditions such as congenital heart disease, liver cirrhosis, pulmonary fibrosis, biliary atresia, and gastrointestinal polyps. We report a 19-year-old man presenting wıth arthritis, broadening of the fingers and clubbing of the fingers and toes for the previous 3 years. The ankles and knees were swollen. X-rays showed periosteal apposition. The search for a secondary cause remained negative. In cases of arthralgia/arthritis together with clubbed fingers, consideration must be given to hypertrophic osteoarthropathy. The primary or idiopathic form is rare and has a good prognosis. |
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Keywords: | Pachydermoperiostosis Primary hypertrophic osteoarthropathy Digital clubbing |
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