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  • Title: Hypertrophic pulmonary osteoarthropathy without clubbing of the digits.
    Author: Clarke S, Barnsley L, Peters M, Morgan L, Van der Wall H.
    Journal: Skeletal Radiol; 2001 Nov; 30(11):652-5. PubMed ID: 11810159.
    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.
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