title: [Primary hypertrophic osteoarthropathy (Touraine-Solente-Golé syndrome)].
abstract: METHODS
  A 29-year-old man had finger clubbing since the age of 15 years, and for the last 10 years his hands and feet had grown disproportionately. In addition he suffered from marked whole-body sweating, especially of the hands and feet, as well as persistent pain in the limbs and joints.
  
  
  METHODS
  Biochemical and endocrinological tests were normal. Radiology of the hands and lower legs revealed marked periosteal thickening, while the substantia trabeculosa was unremarkable. Secondary causes having been excluded primary hypertrophic osteoarthropathy was diagnosed.
  
  
  METHODS
  While there is no causal treatment, physio- and balneotherapy improved the symptoms.
  
  
  CONCLUSIONS
  Early and accurate diagnosis of primary hypertrophic osteoarthropathy is essential, if only because of its favourable long-term prognosis.
authors: Medizinische Klinik Innenstadt, Germany.
authors: M
authors: M
authors: Toepfer
authors: J
authors: J
authors: Rieger
authors: T
authors: T
authors: Pfluger
authors: H
authors: H
authors: Hautmann
authors: T
authors: T
authors: Sitter
authors: K J
authors: KJ
authors: Pfeifer
authors: C J
authors: CJ
authors: Strasburger
mesh_terms: D000328:Adult; D001452:Balneology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010004:Osteoarthropathy, Primary Hypertrophic / Q000175:diagnosis* / Q000628:therapy; D010005:Osteoarthropathy, Secondary Hypertrophic; D010146:Pain; D026741:Physical Therapy Modalities; D011379:Prognosis; D013546:Sweating