title: Atherothrombotic brain infarction in a patient with pachydermoperiostosis.
abstract: A 58-year-old man was admitted due to mild right-sided hemiparesis and a speech disturbance. We diagnosed an atherosclerotic brain infarction of the left cerebral hemisphere. The patient had severe clubbing of his fingers and toes bilaterally. Based on the history, clinical features, and X-ray examinations, he was diagnosed as having pachydermoperiostosis. Although general complications have been reported in previous literature, this is the first report of a patient with pachydermoperiostosis who had a cerebrovascular event.
authors.affiliation: Department of Medicine, Kumamoto Rosai Hospital, 1670 Takehara-machi, Yatsushiro, Kumamoto, Japan. nakazima@fc.kuh.kumamoto-u.ac.jp
authors.forename: Makoto
authors.initials: M
authors.lastname: Nakajima
authors.forename: Teruyuki
authors.initials: T
authors.lastname: Hirano
authors.forename: Kiyotaka
authors.initials: K
authors.lastname: Itoh
authors.forename: Makoto
authors.initials: M
authors.lastname: Uchino
mesh_terms: D020520:Brain Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D038524:Diffusion Magnetic Resonance Imaging; D006801:Humans; D020767:Intracranial Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010004:Osteoarthropathy, Primary Hypertrophic / Q000150:complications* / Q000000981:diagnostic imaging; D010005:Osteoarthropathy, Secondary Hypertrophic / Q000150:complications / Q000000981:diagnostic imaging; D020521:Stroke / Q000150:complications* / Q000000981:diagnostic imaging; D050277:Toe Phalanges / Q000000981:diagnostic imaging