Abstract
Abstract A 23-year-old male patient came with complaints of clubbing, swollen fingers, skin thickening, and hyperhidrosis. Laboratory analysis showed normal liver, kidney, and hormonal function tests. X-ray showed irregular periosteal hypertrophy with bone formation along metacarpals and phalanges. Chest X-ray, abdominal ultrasound, ECG, and stomach fibroscopy were normal. Diagnosis is based on presence of 2/4 of the following criteria set by Borochowitz for pachydermoperiostitis, which are transmission history, clubbing, pachyderma, and skeletal manifestations like periostitis. In this case, 2 out of the four criteria were fulfilled. Since there is no specific treatment for this condition, the patient was advised regular follow-up.
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