title: Primary hypertrophic osteoarthropathy (incomplete form) in young adults: a case report and review of literature.
abstract: Hypertrophic osteoarthropathy is characterised by digital clubbing and periosteal reaction of long bones. Most cases are associated with malignancy or other conditions such as congenital heart disease, liver cirrhosis, pulmonary fibrosis, biliary atresia and inflammatory bowel diseases. We report a middle-aged man found to have 15-year history of clubbing of the fingers and toes on his routine check-up for dyspepsia. Skiagram of hand joints showed periosteal apposition without any periosteal reaction of long bones. The search for a secondary cause of clubbing remained negative. The primary or idiopathic form is rare and has a good prognosis and has to be differentiated from secondary form. He was eradicated successfully with Pylori kit for his antral predominant Helicobacter-induced gastritis.
authors.affiliation: Department of Medicine, Maulana Azad Medical College, New Delhi, India. drhemantnayak@gmail.com
authors.forename: Hemanta K
authors.initials: HK
authors.lastname: Nayak
authors.forename: Vangipuram Deepak
authors.initials: VD
authors.lastname: Rajkumar
authors.forename: Naresh
authors.initials: N
authors.lastname: Kumar
authors.forename: Premashis
authors.initials: P
authors.lastname: Kar
mesh_terms: D000328:Adult; D004415:Dyspepsia / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D006227:Hand Deformities, Acquired / Q000150:complications / Q000000981:diagnostic imaging*; D016481:Helicobacter Infections / Q000150:complications / Q000188:drug therapy; D016480:Helicobacter pylori; D006801:Humans; D008297:Male; D010004:Osteoarthropathy, Primary Hypertrophic / Q000150:complications / Q000000981:diagnostic imaging*; D011859:Radiography