氣管支癌을 同伴한 Generalized Hypertrophic Osteoarthropathy의 一例報告
Report of a Case of Generalized Hypertrophic Osteoarthropathy in Association with bronchogenic Carcinoma
노성만,
소속 상세정보
노성만 ( )
전남대학교 의과대학 정형외과학교실
KMID : 0361619670020020027
Abstract
In a year-old farmer receiving treatment under the clinical diagnosis of rheumatoid arthritis, the diagnosis of pulmonary hypertrophic osteoarthropathy was reached by rontgenological study of the bones and chest, and the needle biopsy of the primary pulmonary lesion which was confirmed as squamous cell carcinoma.
All long bones except distal phalanx of extremities revealed typical periosteal reaction, and clubbing of all digits were pathogromonic.
Joint swelling and pain; similar to rheumatoid arthritis, was so- marked that he had been confined on bed.
This lesion can easily be confused with rheumatoid arthritis or other joint disease because of its prominent joint symptom, so in such patients the clubbing of digits warrants the suspicion of possible pulmonary hypertrophic osteoarthropathy.
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