2,862 results match your criteria: "Hypertrophic Osteoarthropathy"

[Abnormal extremities].

Rev Med Interne

September 2022

Service de médecine polyvalente, CH de Périgueux, 80, avenue Georges-Pompidou, 24019 Périgueux cedex, France.

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Background/aims: Chronic enteropathy associated with gene (CEAS), an inherited disease characterized by nonspecific intestinal ulcers, has emerged in the Japanese population via loss-of-function mutations in the gene. We aimed to investigate the clinical and genetic characteristics of Korean patients diagnosed with CEAS.

Methods: From July 2018 to July 2021, we performed Sanger sequencing of the gene in 46 patients with chronic intestinal ulcers.

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Paraneoplastic musculoskeletal disorders: review and update for radiologists.

Skeletal Radiol

March 2023

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA.

Rheumatic paraneoplastic syndromes are rare syndromes that occur at distant sites from the underlying tumor and may involve the bones, joints, fasciae, muscles, or vessels. In the absence of a known tumor, early recognition of a rheumatic syndrome as paraneoplastic permits dedicated work-up for, and potentially early treatment of an occult malignancy. Although there is a continuously growing list of paraneoplastic rheumatic disorders, not all of these disorders have a well-established association with a neoplastic process.

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Touraine-Solente-Gole syndrome is a rare, autosomal dominant multisystem disorder arising from dysregulated prostaglandin synthesis due to underlying genetic defects. Early symptoms are related to skin and soft tissue involvement (coarse facial features, widening of wrists, etc) and may thus be overlooked unless a careful physical examination is carried out. Secondary causes of pachydermoperiosteitis must always be looked for in such patients.

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A Giant Solitary Fibrous Tumour of the Pleura.

Cureus

April 2022

Department of Cardiothoracic Surgery, The Essex Cardiothoracic Centre, Basildon & Thurrock University Hospital, Mid and South Essex NHS Foundation Trust, Basildon, GBR.

Article Synopsis
  • * A 35-year-old Caucasian woman with no previous health issues presented with worsening shortness of breath, leading to chest X-rays and CT scans revealing a large mass in her right hemithorax.
  • * The tumor, which was surgically removed and measured about 23.1 cm x 21.0 cm x 11.5 cm and weighed 3640 grams, was confirmed to be a benign SFTP with some potential for malignancy, and follow-up imaging showed no signs of recurrence after six months.
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Hypertrophic pulmonary osteoarthropathy( HPO) is a rare paraneoplastic manifestation of lung cancer that causes joint pain, joint swelling, and limited range of motion. Two surgical cases of lung cancer with HPO are presented. Case1:A 43-year-old female was referred to our department with a diagnosis of cStage ⅡB left hilar lung cancer.

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Pharmacology update: pamidronate for hypertrophic pulmonary osteoarthropathy in palliative care.

Ther Adv Rare Dis

March 2022

Palliative Medicine, Ballad Health System, 300 Med Tech Parkway, Johnson City, TN 37604, USA.

Hypertrophic pulmonary osteoarthropathy (HPOA) is a rare syndrome that causes clubbed fingers, periostitis, and synovial effusions. It can adversely impact a patient's quality of life. It occurs secondary to pulmonary disease - most commonly pulmonary malignancy.

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Article Synopsis
  • Hypertrophic osteoarthropathy (HOA) is a condition that features abnormal skin and bone changes caused by excessive bone growth under the periosteum and can be classified into primary (pachydermoperiostosis) and secondary forms.
  • The primary form, pachydermoperiostosis (PDP), can occur with minimal systemic symptoms.
  • In this study, a 23-year-old male with normocytic anemia and facial deformities was diagnosed with PDP using a specialized MRI technique called whole body diffusion weighted imaging with background suppression (WB-DWIBS).
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Article Synopsis
  • The study aimed to estimate the prevalence of digital clubbing and hypertrophic osteoarthropathy (HOA) in individuals with existing medical conditions by analyzing various studies published until March 2021.
  • A total of 142 studies were included, revealing that digital clubbing was most prevalent in adults with intestinal diseases (33.4%) and children with HIV (29.1%), while HOA was reported in 10.1% of adults with cancers and 5% of children with cystic fibrosis.
  • The findings indicated that the prevalence of digital clubbing varies significantly among different disease groups in both adults and children, and HOA was primarily seen in adults with liver issues and cancers.
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Schizophrenia is associated to somatic disorders especially cardio-vascular and auto-immune. Through this case report, we describe an association with hypertrophic osteoarthropathy (HPO). For this patient, it was a paraneoplastic syndrome secondary to lung cancer.

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Bone Geometry, Density, Microstructure, and Biomechanical Properties in the Distal Tibia in Patients With Primary Hypertrophic Osteoarthropathy Assessed by Second-Generation High-Resolution Peripheral Quantitative Computed Tomography.

J Bone Miner Res

March 2022

Department of Endocrinology, Key Laboratory of Endocrinology, NHC, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Periosteosis refers to pathological woven bone formation beneath the cortical bone of the long bones. It is an imaging hallmark of primary hypertrophic osteoarthropathy (PHO) and also considered as one of the major diagnostic criteria of PHO patients. Up to date, detailed information on bone quality changes in long bones of PHO patients is still missing.

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A 65-year-old woman with prolonged cough and presumed pulmonary hypertrophic osteoarthropathy was referred to our hospital. Computed tomography showed 2 tumors larger than 3 cm in size and massive hilar lymph node enlargement in the right lung. Pathological examination of the transbronchial lung biopsy specimen showed atypical malignant cells, presumed adenocarcinoma, with 1% positivity of programmed cell death 1 ligand (PD-L1).

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Paraneoplastic syndromes are clinical entities associated with cancers and often overlap with metabolic and endocrine syndromes. The cell types of lung cancer involved are frequently small cell, squamous cell, adenocarcinoma, large cell, and carcinoid tumor. A number of neurologic paraneoplastic syndromes have been described for which the tumor product remains unknown.

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Recent advances in studies of 15-PGDH as a key enzyme for the degradation of prostaglandins.

Int Immunopharmacol

December 2021

Key Laboratory of Physical Fitness and Exercise Rehabilitation of the Hunan Province, College of Physical Education, Hunan Normal University, Changsha, Hunan 410012, China. Electronic address:

Article Synopsis
  • 15-hydroxyprostaglandin dehydrogenase (15-PGDH) is an enzyme that helps break down prostaglandins, essential signaling molecules, and is expressed in various tissues throughout mammals.
  • This enzyme is involved in critical processes that could aid in preventing organ damage, improving bone marrow recovery, and enhancing tissue regeneration, making it a potential target for new therapies.
  • Additionally, 15-PGDH shows tumor-suppressing effects in cancers and is linked to aging, suggesting its importance in both cancer treatment and managing age-related diseases.
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Article Synopsis
  • A 25-year-old male with end-stage cystic fibrosis (CF) presented with knee and ankle pain, alongside severe lung issues and other complications related to his CF.
  • Physical exams revealed swelling and pain in his joints, but initial treatments with prednisone and tramadol were ineffective after three months.
  • After a whole-body bone scan indicated hypertrophic pulmonary osteoarthropathy (HPOA), he started on a new CF medication, which led to a complete resolution of his symptoms without additional treatments.
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Severe hypoglycemia and finger clubbing in a patient with a BRCA1 mutation in a solitary fibrous tumor: a case report.

Ann Transl Med

July 2021

Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Article Synopsis
  • Solitary fibrous tumors (SFTs) are rare tumors originating from mesenchymal cells in submesothelial tissues, commonly found in the pleura, affecting various body parts, with pleural SFTs most prevalent in middle-aged individuals.
  • These tumors can be asymptomatic for years and are associated with paraneoplastic syndromes such as Doege-Potter syndrome and hypertrophic osteoarthropathy.
  • A case study highlights a 51-year-old man with pleural SFTs who underwent successful tumor resection, with symptoms like hypoglycemia resolving post-surgery, while molecular analysis indicated BRCA1 mutations as potentially significant in tumor development.
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Solitary fibrous tumors are rare pleural tumors. Most of the time they are benign tumors and identified incidentally once they cause symptoms secondary to their mass effect. Here we present an interesting case of a 54-year-old female found with a giant solitary fibrous tumor with signs of hypertrophic pulmonary osteoarthropathy with associated digital clubbing 6 month before identifying the tumor.

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