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Hypertrophic pulmonary osteoarthropathy without clubbing of the digits
S Clarke1, L Barnsley, M Peters
1Department of Oncology, Concord Hospital, Sydney, Australia.
Skeletal Radiology
|January 26, 2002
Abstract:
Hypertrophic osteoarthropathy (HOA) typically occurs concurrently with clubbing of the digits, with isolated HOA being reported only rarely. We report two patients with intra-thoracic malignancy in whom HOA, demonstrated on bone scintigraphy, developed in the absence of clubbing. We also report the novel observation of involvement of the metatarsal and metacarpal bones by HOA.