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  • Title: [Bilateral periostitis and arthritis: about a case of hypertrophic osteoarthropathy].
    Author: Mina M, Jacquerie P, Duquenne JB, Lavigne JP, Boulanger Y, Bisogni C, Derwael C, Withofs N, Malaise M, Malaise O.
    Journal: Rev Med Liege; 2022 Jul; 77(7-8):413-415. PubMed ID: 35924493.
    Abstract:
    We report the case of a 67-year-old female patient presenting swelling of the hands and feet and pain in both legs. Clinical examination and bone scintigraphy identify the triad "digital clubbing - arthritis - bilateral periostitis of the long bones", leading to a diagnosis of hypertrophic osteoarthropathy, a syndrome usually associated with pulmonary neoplasia. The thoracic CT-scan, followed by a biopsy, effectively diagnosed a right upper lobe adenocarcinoma. Surgical treatment of the neoplasia allowed the resolution of the clinical complaints and the pathological scintigraphic findings. Nous rapportons le cas d’une patiente de 67 ans présentant des gonflements des mains et des pieds ainsi que des douleurs des deux jambes. L’examen clinique et la scintigraphie osseuse identifient la triade «hippocratisme digital - arthrites - périostite bilatérale des os longs», permettant de poser un diagnostic d’ostéoarthropathie hypertrophique, un syndrome habituellement associé à une néoplasie pulmonaire. Le scanner thoracique, suivi d’une biopsie, ont en effet diagnostiqué un adénocarcinome localisé au niveau du lobe supérieur droit. La prise en charge chirurgicale de la néoplasie a permis la résolution des plaintes cliniques et de l’aspect scintigraphique pathologique.
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