TITLE:
A Clinical Triad of Digital Clubbing, “Arthritis” and Ossifying Periostitis in a Man: Case Report
AUTHORS:
Chun-Ruh Ng, Yet-Lin Loh
KEYWORDS:
Hypertrophic Osteoarthropathy, Pachydermoperiostosis, Cutis Verticis Gyrata, Periosteal Reaction, Clubbing
JOURNAL NAME:
Open Access Library Journal,
Vol.6 No.1,
January
10,
2019
ABSTRACT:
A 49 year old gentleman presented with intermittent bilateral knee swelling
for the past 37 years and was eventually diagnosed as primary hypertrophic
osteoarthropathy after secondary forms were excluded. This case illustrates
that the disease can present during childhood with an insidious onset and
progressively become more severe and that is when medical attention is
sought. Furthermore, the patient did not voluntarily report his skin changes
as he considered the slow progressive changes as normal. We report a case of
primary hypertrophic osteoarthropathy, its clinical presentation, imaging
findings and therapeutic treatment. It is a rare differential diagnosis for
chronic joint pain and swelling.