Abstract
Idiopathic Hypertrophic osteoarthropathy is a syndromic disease which is characterized by periostitis and thickening of long bones, clubbing of toes and fingers, synovitis of joints, hyperhydrosis, thickening and furrowing of skin. However, to say an idiopathic HOA, secondary causes of clubbing should be investigated and ruled out. The disease is usually self limiting and most patients enjoy healthy lives except moderate discomforts. We report a case of 24 years male patient diagnosed as idiopathic HOA who responded partially with low dose of steroid (prednisolone).
Highlights
Hypertrophic osteoarthropathy (HOA) is a syndromic disorder characterized by periostitis of the long bones, clubbing of finger or toes, synovitis of the joints, and skin changes[1]
When no underlying causes are found the clinical condition with triad of periostitis, arthritis, and clubbing is diagnosed as idiopathic HOA (4)
Most patients with idiopathic HOA do not show any symptoms until adolescence when they begin to present with clubbing, swelling of joint, and thickening of bones
Summary
Hypertrophic osteoarthropathy (HOA) is a syndromic disorder characterized by periostitis of the long bones, clubbing of finger or toes, synovitis of the joints, and skin changes[1]. HOA usually occurs secondary to the pulmonary neoplasms or other extra or intra-thoracic disorders which is called secondary HOA (2,3). In 3 to 5% of cases when no obvious causes are found, the condition is termed as idiopathic HOA (4). Idiopathic HOA occurs more commonly in adolescent and adults (Adulthood variety) and less commonly in children (childhood variety) (2). Civil Service Hospital, Minbhawan, Kathmandu, Nepal[1] Indraprastha Apollo Hospital, New Delhi, Kathmandu, Nepal[2] Received: 19.10.2014, Accepted: 04.02.2015
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