A Report of Five Cases
نویسندگان
چکیده
this association is mentioned in textbooks by Kreel (1971) and Taybi (1975). Weens and Brown (1945) describe a patient with periosteal thickening and acro-osteolysis without actually mentioning the diagnosis of pachydermoperiostosis. We therefore now wish to record five further patients with this curious condition, four of them showing varying degrees of acro-osteolysis. CASE HISTORIES Case 1. A man aged twenty-nine, of Chinese-Malayan extraction, presented with a complaint of poor vision. Examination revealed ptosis due to thickening of the skin of the eyelids, which was part of a generalised thickening of the skin of the face (Fig. 1). There was enlargement of the hands and feet, with clubbing (Fig. 2). He was diagnosed as having acromegaly, but radiographs of the skull were
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