Thyroid acropachy
Case contributed by Yi-Jin Kuok ◈
Diagnosis certain
Citation, DOI, disclosures and case data
Citation:
Kuok Y, Thyroid acropachy. Case study, Radiopaedia.org (Accessed on 02 Jun 2023) https://doi.org/10.53347/rID-17338
Permalink:
rID:
17338
Disclosures:
At the time the case was submitted for publication Yi-Jin Kuok had no recorded disclosures.
View Yi-Jin Kuok's current disclosuresCase published:
5 Apr 2012
Revisions:
33 times, by 7 contributors - see full revision history and disclosures
Systems:
Tags:
Case of the day:
06 Apr 2013
Quiz mode:
Included
Presentation
Hand swelling and finger clubbing.
Patient Data
Age: 55 years
Gender: Female
From the case:
Thyroid acropachy
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Oblique
Prominent solid periosteal reaction affecting phalanges and distal of radius and ulna. There is also evidence of soft tissue swelling.
Case Discussion
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.
References
- 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
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