Thyroid acropachy is an unusual presentation of an autoimmune thyroid disease, (approximatley 1% of patients with Graves disease) which is almost always associated with thyroid ophthalmopathy. It can occur in euthyroid, hyperthyroid,or hypothyroid patients or even post treatment.
The majority of patients are smokers.
Clinically, it presents with soft tissue swelling, finger clubbing and periosteal reaction of the extremities.
- prominent solid or fluffy periosteal reaction affecting the hands and feet. It is usually bilateral and symmetrical involving the tubular bones of hands and feet.
- may also be evidence of soft tissue swelling (especially lower limbs)
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