Pediatric Radiology

, Volume 25, Issue 6, pp 482–483 | Cite as

Hypertrophic osteoarthropathy caused by lipoid pneumonia

  • C. Hugosson
  • S. Bahabri
  • A. Rifai
  • A. Al-Dalaan
Short Reports

Abstract

A case of hypertrophic osteoarthropathy in a 5-year-old Saudi boy is presented. The child developed painful joints, was found to have clubbing of fingers and radiologically hypertrophic osteoarthropathy was demonstrated. The underlying cause of the condition was ingestion of animal fat in infancy, with a history of ghee oil aspiration which caused a chronic lung inflammation, lipoid pneumonia, proven by lung biopsy.

Keywords

Public Health Pneumonia Painful Joint Lung Biopsy Lung Inflammation 

References

  1. 1.
    Ansell BM (1992) Hypertrophic osteoarthropathy in the paediatric age. Clin Exp Rheumatol 10: 15PubMedGoogle Scholar
  2. 2.
    Dixey J, Redington AN, Butler RC, Smith MJ, Batchelor JR, Woodrow DF, Hodson ME, Batten JC, Brewerton DA (1988) The arthropathy of cystic fibrosis. Ann Rheum Dis 47: 218PubMedGoogle Scholar
  3. 3.
    Lipnick RN, Glass RBJ (1992) Bone changes associated with cystic fibrosis. Skeletal Radiol 21: 115CrossRefPubMedGoogle Scholar
  4. 4.
    Pineda CJ, Guerra J Jr, Weisman MH, Resnick D, Martinez-Lavin M (1985) The skeletal manifestations of clubbing: a study in patients with cyanotic congenital heart disease and hypertrophic osteoarthropathy. Semin Arthritis Rheum 14: 263CrossRefPubMedGoogle Scholar
  5. 5.
    Rush PJ, Shore A, Coblentz C, Wilmot D, Corey M, Levison H (1986) The musculoskeletal manifestations of cystic fibrosis. Semin Arthritis Rheum 15: 213CrossRefPubMedGoogle Scholar
  6. 6.
    Staalman CR, Umans U (1993) Hypertrophic osteoarthropathy in childhood malignancy. Med Pediatr Oncol 21: 676PubMedGoogle Scholar
  7. 7.
    Marie P (1890) De l'ostéoartrophic hypertrophiante pneumonique. Rev Med 10: 1Google Scholar
  8. 8.
    Bamberger E (1891) Über Knochenveränderungen bei chronischen Lungen- und Herzkrankheiten. Z Klin Med 18: 193Google Scholar
  9. 9.
    Hugosson CO, Riff EJ, Moore CCM, Akhtar M, Tufenkeji HT (1991) Lipoid pneumonia in infants: a radiological-pathological study. Pediatr Radiol 21: 193PubMedGoogle Scholar
  10. 10.
    Baculard A, Tournier G, Bernaudin JF, Boccon Gibod L, Grimfeld A, DeThe G (1985) Cholesterol pneumopathy in children. Apropos of 3 cases. Possible role of chronic Epstein-Barr virus infection. Arch Fr Pediatr 42: 365PubMedGoogle Scholar
  11. 11.
    Taets van Amerongen AHM, Golding RP, Veerman AJP (1986) Hypertrophic osteoarthropathy in a young child with cytomegalovirus pneumonia and the bare lymphocyte syndrome. Pediatr Radiol 16: 257PubMedGoogle Scholar
  12. 12.
    Pineda CJ, Martinez-Lavin M, Goobar JE, Sartoris DJ, Clopton P, Resnick D (1987) Periostitis in hypertrophic osteoarthropathy: relationship to disease duration. AJR 148: 773PubMedGoogle Scholar
  13. 13.
    Dickinson CJ (1993) The aetiology of clubbing and hypertrophic osteoarthropathy. Eur J Clin Invest 23: 330PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • C. Hugosson
    • 1
  • S. Bahabri
    • 2
  • A. Rifai
    • 1
  • A. Al-Dalaan
    • 3
  1. 1.Department of RadiologyKing Faisal Specialist Hospital and Research CentreRiyadhSaudi Arabia
  2. 2.Department of PediatricsKing Faisal Specialist Hospital and Research CentreRiyadhSaudi Arabia
  3. 3.Department of MedicineKing Faisal Specialist Hospital and Research CentreRiyadhSaudi Arabia

Personalised recommendations