Rheumatology International

, Volume 27, Issue 4, pp 403–405

Primary hypertrophic osteoarthropathy (pachydermoperiostosis): a case report

  • Murat Karkucak
  • Engin Erturk
  • Erhan Capkin
  • Hikmet Akyazi
  • Gonca Ozden
  • Mehmet Tosun
Case Report

DOI: 10.1007/s00296-006-0216-2

Cite this article as:
Karkucak, M., Erturk, E., Capkin, E. et al. Rheumatol Int (2007) 27: 403. doi:10.1007/s00296-006-0216-2

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.

Keywords

Pachydermoperiostosis Primary hypertrophic osteoarthropathy Digital clubbing 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Murat Karkucak
    • 1
  • Engin Erturk
    • 2
  • Erhan Capkin
    • 1
  • Hikmet Akyazi
    • 3
  • Gonca Ozden
    • 1
  • Mehmet Tosun
    • 1
  1. 1.Department of Physical Medicine and Rehabilitation, Medical FacultyKaradeniz Technical UniversityTrabzonTurkey
  2. 2.Department of Anaesthesiology and Intensive CareKaradeniz Technical UniversityTrabzonTurkey
  3. 3.Department of DermatologyKaradeniz Technical UniversityTrabzonTurkey

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