Hypertrophic Osteoarthropathy on Bone Scintigraphy

[Pachydermoperiostosis (idiopathic hypertrophic osteoarthropathy)].

Introduction Pachydermoperiostosis is a syndrome characterized by finger clubbing, periosteal new bone formation especially over the distal ends of long bones, and coarsening of the facial features, with thickening, furrowing and oiliness of the skin of the face and forehead. The first reported cases were the Hagner brothers, who had typical features of this syndrome. They were first described ...

Hypertrophic osteoarthropathy and AIDS.

Primary hypertrophic osteoarthropathy

A rare case of 25 years male who had intermittent swelling over the ankles as well as knees, for the past 7 years is presented here. This case report not only enables diagnosing primary hypertrophic arthropathy, by systematically excluding other differentials but also brings out essential differences between primary and secondary forms of this entity.

Hypertrophic osteoarthropathy without radiographic evidence of new bone formation.

A 70-year-old man with florid symptoms of hypertrophic osteoarthropathy for over a year presented without radiographic evidence of new bone formation. His symptoms improved after exploratory thoracotomy, but recurred with lesser severity a year later with tumour recurrence on the chest wall. Absence of new bone formation was again demonstrated radiologically as well as by isotope scan.

Hypertrophic Pulmonary Osteoarthropathy.

THE syndrome of hypertrophic pulmonary osteoarthropathy is one of the most striking systemic manifestations of a localized carcinoma. The majority of cases are associated with a primary carcinoma of the bronchus, of any cell type, but which is frequently peripheral in position (Ray and Fisher, I953; Semple and McCluskie, 1955). Pulmonary osteoarthropathy may also be secondary to pleural tumours...