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  • Title: Pachydermoperiostosis with bilateral ptosis and its associated systemic comorbidities: a rare case report.
    Author: Hlaing SS, Field AY, Mowatt LL, Yee HL, Noguera CM, Palmer GL, Mattis AC, Nelson CC, Fleming JC.
    Journal: Pan Afr Med J; 2023; 45():88. PubMed ID: 37663630.
    Abstract:
    Pachydermoperiostosis is a rare genetic disease known as primary or idiopathic hypertrophic osteoarthropathy (HOA)/Touraine-Solente-Gole syndrome. It is an autosomal dominant or recessive disorder comprising digital clubbing, periostosis, hyperhidrosis, and pachydermia (thickening of facial skin). Ocular manifestations are uncommon; however, blepharoptosis may occur. This case presented with severe bilateral ptosis due to the disease progression. A large 20 mm upper lid resection with levator advancement was performed to improve his ability to see. This is the first reported case of pachydermoperiostosis (PDP) in Jamaica. We present a rare case of pachydermoperiostosis with severe blepharoptosis, who attained a good result with surgical intervention.
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