Hypertrophic osteoarthropathy

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Hypertrophic osteoarthropathy
X-ray of a patient with hypertrophic osteoarthropathy
Synonyms	Hypertrophic pulmonary osteoarthropathy, Bamberger-Marie syndrome
Pronounce	N/A
Specialty	Rheumatology, Pulmonology
Symptoms	Clubbing of the fingers and toes, arthralgia, periostitis
Complications	Joint effusion, pain, swelling
Onset	Variable, often associated with underlying conditions
Duration	Chronic
Types	N/A
Causes	Lung cancer, chronic lung infections, congenital heart disease
Risks	Smoking, chronic respiratory disease
Diagnosis	Clinical examination, X-ray, bone scan
Differential diagnosis	Rheumatoid arthritis, osteoarthritis, thyroid acropachy
Prevention	N/A
Treatment	Treat underlying cause, NSAIDs, analgesics
Medication	N/A
Prognosis	Depends on underlying condition
Frequency	Rare
Deaths	N/A

Hypertrophic osteoarthropathy (HOA) is a medical condition characterized by abnormal proliferation of skin and bone tissue. The symptoms often include clubbing of the fingers and toes, increased sweating, and pain in the joints or bones.

Causes

The exact cause of hypertrophic osteoarthropathy is unknown. However, it is often associated with cancer, especially lung cancer. Other conditions that may cause HOA include lung disease, heart disease, and certain gastrointestinal disorders.

Symptoms

The most common symptoms of hypertrophic osteoarthropathy include:

• Clubbing of the fingers and toes
• Increased sweating
• Pain in the joints or bones
• Swelling of the legs or ankles
• Thickening of the skin

Diagnosis

Diagnosis of hypertrophic osteoarthropathy is usually based on the patient's symptoms and a physical examination. Additional tests may be needed to confirm the diagnosis and rule out other conditions. These tests may include:

• X-rays
• Blood tests
• Bone scan

Treatment

Treatment for hypertrophic osteoarthropathy focuses on managing the symptoms and treating the underlying condition. This may include:

• Pain medication
• Physical therapy
• Treatment for the underlying condition, such as cancer treatment

See also

• Osteoarthritis
• Rheumatoid arthritis
• Psoriatic arthritis

References

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