Monday, October 30, 2006

Acropachy

Acropachy (Hypertrophic Pulmonary Osteoarthropathy)           21

General: Three separate components: clubbing of fingers, periosteal proliferation of distal ends of long bones, and arthritis; symptoms disappear with control of disease.

Ocular: Exophthalmos.

Clinical: Finger edema; fibrous overgrowth to fingertips; nail deformity; elevated hormone levels; periosteal bone changes affecting distal radius, ulna, tibia, fibula, metacarpals, and phalanges.

Duke-Elder S, MacFaul PA. System of ophthalmology, vol. XIII. St. Louis: CV Mosby, 1971.

Robbins SL. Pathologic basis of disease. Philadelphia: WB Saunders, 1974.

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