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).