Diseases of the Musculoskeletal System
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Hypertrophic Osteoarthropathy
Periostitis
During 5 years (1986-1990), 81 of the patients under our care showed bronchopulmonary cancer diagnosed by clinical, x-ray and bronchoscopic examinations. Of these, 69 (85.2) were men and 12 (14.8%) women, with a mean age of 62 years; 72 patients (90%) were moderate or heavy smokers. Four of them (4.9%) presented the classical hypertrophic osteoarthropathy (HOA) described by Bamberger and Pierre Marie, i.e., finger clubbing, ossifying periostitis of the long bones, joint pains and swelling. Other 3 patients showed only finger clubbing, while 7 of 30 cases studied by systematic x-ray examinations of the long bones presented ossifying periostitis (5 cases) or hyperostosis (2 cases). It results that almost one third (31.6%) of the patients with bronchopulmonary cancer had a complete or incomplete Bamberger-Pierre Marie syndrome. It is concluded that HOA identification before the clinical and x-ray manifestations of bronchopulmonary cancer could contribute to an early diagnosis of this malignant disease.
Hypertrophic Osteoarthropathy
Periostitis
Spinal osteoarthropathy
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Periosteal reaction
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Periostitis
Periosteum
Mandible (arthropod mouthpart)
Dry socket
Periosteal reaction
Hyperostosis
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Periostitis
Periosteum
Mandible (arthropod mouthpart)
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Hypertrophic osteoarthropathy(HOA) is a systemic disorder characterized by proliferative periostitis of long bone and polysynovitis. Clubbing of the fingers and toes usually accompanies HOA. This syndrome is most frequently with lung cancer. Although disappearance of HOA with removal of the tumor is well known, very few typical cases are reported in Korea. We report case of lung cancer with HOA, which was dramatically relieved after the surgical resection of the tumor.
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The word ‘Osteomyelitis’ originates from the ancient Greek words osteon (bone) and muelinos (marrow) and means infection of medullary portion of the bone. It can be classified as acute, subacute or chronic, depending on the clinical presentation.1 The decline in prevalence can be attributed to the increased availability of antibiotics and the progressively higher standards of oral and dental health.
Garre's osteomyelitis is a distinctive type of chronic osteomyelitis associated with gross thickening of the periosteum of the bones and peripheral reactive bone …
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Spinal osteoarthropathy
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The primary hypertrophic osteoarthropathy (HOA) (pachydermoperiostosis) is a rare hereditary disease characterized by skin manifestations (pachydermia), digital clubbing and proliferation of periosteum (periostitis) with sub-periosteal new bone formation. We describe here a case who presented with seborrheic dermatitis and joint pain of both hands on work up matched satisfactorily with the complete form of primary HOA. The identification of secondary form being relatively common among clinicians and hence the importance of recognizing the primary form, which is a difficult to treat condition is discussed here.
Periostitis
Hypertrophic Osteoarthropathy
Periosteum
Spinal osteoarthropathy
Periosteal reaction
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Three adult patients with cystic fibrosis presented with arthralgia, and investigation for the usual causes of arthritis proved negative. Radiographs of long bones revealed periostitis and new bone fromation characteristic of hypertrophic osteoarthropathy. Symptomatic improvement occurred after analgesic and anti-inflammatory therapy. In patients with cystic fibrosis and bone or joint pain, the diagnosis of hypertrophic osteoarthropathy should be considered and long bone radiographs obtained.
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Periostitis
Spinal osteoarthropathy
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