Hand swelling and finger clubbing.
Loading Stack -
0 images remaining
Prominent solid periosteal reaction affecting phalanges and distal of radius and ulna. There is also evidence of soft tissue swelling.
The findings in a 55 year old patient with hyperthyroidism are compatible with thyroid acropachy.
Thyroid acropachy is an uncommon manifestation of autoimmune thyroid disease which presented with digital clubbing, swelling of digits and toes, and periosteal reaction of extremity bones. The term acropachy is a Greek word for thickening of the extremities. It is almost always associated with thyroid ophthalmopathy and dermopathy.
- 1. Scanlon GT, Clemett AR. THYROID ACROPACHY. Radiology. 1964;83 (6): 1039-42. Radiology (citation) - doi:10.1148/83.6.1039 - Pubmed citation
- 2. Fatourechi V, Ahmed DD, Schwartz KM. Thyroid acropachy: report of 40 patients treated at a single institution in a 26-year period. J. Clin. Endocrinol. Metab. 2003;87 (12): 5435-41. Pubmed citation
1 article features images from this case
21 public playlists include this case
- Hand x-rays
- Tuesday Lunch Cases June 2013
- FRCR 2B Cases
- Hand x-rays
- Casos Dr Helio
- FRCR viva hands (& feet)
- chintaka 2.4.2016
- MSK - Non-Trauma - Metabolic Bone Diseas
- COOL CASES
- Nutritional Metabolic and Endocrine disorders
- Senior Cases 21 Sept 2016
- MSK - dysplasias, marrow & metabolic
- MSK KM
- M chest