title: Bilateral ptosis due to a rare cause-pachydermoperiostosis.
abstract: Pachydermoperiostosis is a rare hereditary disorder that is characterised by pachydermia (thickening of the facial skin and/or scalp), and periostosis (swelling of the periarticular tissue and a subperiosteal new bone formation). Other associated features are arthralgia, polyarthritis, clubbing, seborrhoea, hyperhidrosis, hypertrophic gastropathy, peptic ulcer and gyanecomastia. Eyelid ptosis which is caused by thickened eyelids (blepharoptosis) is a less common association. We are hereby reporting a patient with a complete form of Pachydermoperiostosis, wherein the presenting feature was bilateral ptosis.
authors.affiliation: Associate Professor of Medicine, Department of Medicine, JSS Medical College and Hospital, JSS University , Mysore, India .
authors.forename: M
authors.initials: M
authors.lastname: Mahesh
authors.forename: K V K S N
authors.initials: KV
authors.lastname: Murthy
keywords: Blepharoptosis; Hyperhydrosis; Idiopathic hypertrophic osteoarthropathy; Pachydermia; Periostosis