Hypertrophic osteoarthropathy

Case contributed by Dr Paul Simkin

Presentation

18 year old female with cystic fibrosis presents with chronic bilateral knee pain and clinical joint effusions.

Patient Data

Age: 18 years old
Gender: Female
Modality: X-ray

Smooth periosteal reaction is seen affecting the medial aspect of both distal femurs. The bones are osteopaenic for the patient's age, otherwise the study was normal. No joint effusion was radiographically apparent.

Case Discussion

In a patient with chronic lung disease, the findings are in keeping with hypertrophic osteoarthropathy, and would explain the patient's chronic pain.

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Case Information

rID: 17989
Case created: 30th May 2012
Last edited: 11th Oct 2015
Inclusion in quiz mode: Included

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