Arthralgia and digital clubbing in a child: hypertrophic osteoarthropathy with inflammatory pseudotumour of the lung.
Arthralgia in childhood is an unspecific symptom. One rare cause of arthralgia is hypertrophic osteoarthropathy associated with digital clubbing. We present a child where hypertrophic osteoarthropathy led to the rare diagnosis of an inflammatory pseudotumour of the lung. In a 12-year-old girl with arthralgia and digital clubbing, a chest radiograph disclosed a large round mass in the right upper lobe, and the following chest computed tomography scan showed a large solid homogenous, round, well marginated lesion with little contrast enhancement. A lobectomy of the right upper lobe was performed, and histological examination showed an inflammatory pseudotumour. The postoperative course was without problems: arthralgia and digital clubbing disappeared.
Pichler
G
G
Division of General Paediatrics, Department of Paediatrics, University of Graz, Austria. gp17646@i-one.at
Eber
E
E
Thalhammer
G
G
Muntean
W
W
Zach
M S
MS
D018771:Arthralgia / Q000209:etiology*; D002648:Child; D005260:Female; D006801:Humans; D010004:Osteoarthropathy, Primary Hypertrophic / Q000150:complications* / Q000209:etiology*; D010005:Osteoarthropathy, Secondary Hypertrophic / Q000150:complications* / Q000473:pathology*; D016726:Plasma Cell Granuloma, Pulmonary / Q000150:complications* / Q000601:surgery; D011013:Pneumonectomy; D016896:Treatment Outcome