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Published on: March 8, 2019
Hypertrophic osteoarthropathy with acro-osteolysis in a patient with primary pulmonary hypertension
Walter Alberto Sifuentes Giraldo1, María Ahijón Lana, Ignacio Gallego Rivera
1Servicio de Reumatología, Hospital Universitario Ramón y Cajal, Madrid, Spain. albertosifuentesg@gmail.com
Abstract:
Hypertrophic osteoarthropathy is an entity characterized by a triad of periostitis of long bones, clubbing and arthritis. Radiologically there are two patterns, one characterized by new bone formation which predominates in patients with pulmonary disease, and another by acro-osteolysis that is most frequently associated with congenital heart disease. We report the case of a 30-year-old man diagnosed with primary pulmonary hypertension for two years, developing hypertrophic osteoarthropathy with a mixed radiological pattern.
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