Idiopathic Hypertrophic Osteoarthropathy (Pachydermoperiostitis); A Syndromic Disease of Periostitis, Synovitis, Clubbing and Skin Furrowing

Abstract

Idiopathic Hypertrophic osteoarthropathy is a syndromic dis-ease which is characterized by periostitis and thickening of long bones, clubbing of toes and fingers, synovitis of joints, hyperhydrosis, thickening and furrowing of skin. However, to say an idiopathic HOA, secondary causes of clubbing should be investigated and ruled out. The disease is usually self limiting and most patients enjoy healthy lives except moderate dis-comforts. We report a case of 24 years male patient diagnosed as idiopathic HOA who responded partially with low dose of steroid (prednisolone).