Hypertrophic osteoarthropathy with acro-osteolysis in a patient with primary pulmonary hypertension
Reumatol Clin. 2012 Jul-Aug;8(4):208-11.
doi: 10.1016/j.reuma.2011.10.008.
Epub 2012 Jan 28.
[Article in
English,
Spanish]
Affiliation
- 1 Servicio 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.
Copyright © 2011 Elsevier España, S.L. All rights reserved.
MeSH terms
-
Adult
-
Autoantibodies / blood
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Autoantigens / immunology
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Calcium / therapeutic use
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Citrulline / analysis
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Diphosphonates / therapeutic use
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Hand Bones / diagnostic imaging
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Humans
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Hypertension, Pulmonary / complications*
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Imidazoles / therapeutic use
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Male
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Osteoarthropathy, Secondary Hypertrophic / diagnostic imaging
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Osteoarthropathy, Secondary Hypertrophic / drug therapy
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Osteoarthropathy, Secondary Hypertrophic / etiology*
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Osteolysis / diagnostic imaging
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Osteolysis / etiology
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Peptides / chemistry
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Peptides / immunology
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Pregnenediones / therapeutic use
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Radiography
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Radius / diagnostic imaging
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Vitamin D / therapeutic use
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Wrist Joint / diagnostic imaging
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Zoledronic Acid
Substances
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Autoantibodies
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Autoantigens
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Diphosphonates
-
Imidazoles
-
Peptides
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Pregnenediones
-
Vitamin D
-
Citrulline
-
Zoledronic Acid
-
deflazacort
-
Calcium