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IDIOPATHIC CLUBBING AND HYPERTROPHIC OSTEOARTHROPATHY

IDIOPATHIC CLUBBING AND HYPERTROPHIC OSTEOARTHROPATHY Abstract WHEN CLUBBED fingers are noted in the course of a physical examination, the clinician considers the possibility of an underlying chronic disease, particularly WHEN diac or pulmonary. The following case is deemed worthy of presentation because it illustrates clubbing of the digits and the bone changes of hypertrophic osteoarthropathy in a healthy young man without recognizable disease, in whom cardiac catheterization studies revealed normal cardiopulmonary physiology. REPORT OF CASE A 23-year-old white man was found to have symmetrical clubbing of the fingers and toes in the course of a routine college entrance physical examination in September, 1953. Prior to this he had been unaware of any abnormality. The past history included occasional upper respiratory infections, scarlet fever as a child, and a mild pneumonic episode in 1947. He denied cyanosis. The history was negative for congenital heart disease or for any serious illness. His good health became more apparent References 1. Pyke, D. A.: Finger Clubbing: Validity as a Physical Sign , Lancet 2:352-354 ( (Aug. 21) ) 1954.Crossref 2. Craig, J. W.: Hypertrophic Pulmonary Osteoarthropathy as the First Symptom of Pulmonary Neoplasm , Brit. M. J. 1:750-752 ( (April 10) ) 1937.Crossref 3. References 2-7. 4. References 9-12. 5. Warthin, T. A.; Cooper, J. F., and Caputi, A. P.: Clubbing of Digits, Metaplasia of Urinary Bladder and Mucous Diarrhea , Arch. Int. Med. 86:10-21 ( (July) ) 1950.Crossref 6. Fried, B. M.: Chronic Pulmonary Osteoarthropathy: Dyspituitarism as a Probable Cause , Arch. Int. Med. 72:565-580 ( (Nov.) ) 1943.Crossref 7. Bloom, W.: Pituitary Implications in Hypertrophic Pulmonary Osteoarthropathy , Ann. Int. Med. 29:361-370 ( (Aug.) ) 1948.Crossref 8. Pattison, J. D., Jr.; Beck, E., and Miller, W. B.: Hypertrophic Osteoarthropathy in Carcinoma of Lung , J. A. M. A. 146:783-787 ( (June 30) ) 1951.Crossref 9. Case Records of the Massachusetts General Hospital: Case 31281 , New England J. Med. 233: 44-48 ( (July 12) ) 1945.Crossref 10. Mendlowitz, M.: Clubbing and Hypertrophic Osteoarthropathy , Medicine 21:269-306 ( (Sept.) ) 1942. 11. Talbott, J. H., and Montgomery, W. R., Jr.: Familial Clubbing of Fingers and Toes , A. M. A. Arch. Int. Med. 92:697-700 ( (Nov.) ) 1953.Crossref 12. Logue, J. T.: Osteoarthropathy and Simple Clubbing , U. S. Armed Forces M. J. 4:1627-1631 ( (Nov.) ) 1953. 13. Keats, T. E., and Bagnall, W. S.: Chronic Idiopathic Osteoarthropathy , Radiology 62:841-844 ( (June) ) 1954.Crossref 14. Berk, M.: Chronic Idiopathic Hypertrophic Osteoarthropathy , New England J. Med. 247:123-126 ( (July 24) ) 1952.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

IDIOPATHIC CLUBBING AND HYPERTROPHIC OSTEOARTHROPATHY

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Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1956.00250210101010
Publisher site
See Article on Publisher Site

Abstract

Abstract WHEN CLUBBED fingers are noted in the course of a physical examination, the clinician considers the possibility of an underlying chronic disease, particularly WHEN diac or pulmonary. The following case is deemed worthy of presentation because it illustrates clubbing of the digits and the bone changes of hypertrophic osteoarthropathy in a healthy young man without recognizable disease, in whom cardiac catheterization studies revealed normal cardiopulmonary physiology. REPORT OF CASE A 23-year-old white man was found to have symmetrical clubbing of the fingers and toes in the course of a routine college entrance physical examination in September, 1953. Prior to this he had been unaware of any abnormality. The past history included occasional upper respiratory infections, scarlet fever as a child, and a mild pneumonic episode in 1947. He denied cyanosis. The history was negative for congenital heart disease or for any serious illness. His good health became more apparent References 1. Pyke, D. A.: Finger Clubbing: Validity as a Physical Sign , Lancet 2:352-354 ( (Aug. 21) ) 1954.Crossref 2. Craig, J. W.: Hypertrophic Pulmonary Osteoarthropathy as the First Symptom of Pulmonary Neoplasm , Brit. M. J. 1:750-752 ( (April 10) ) 1937.Crossref 3. References 2-7. 4. References 9-12. 5. Warthin, T. A.; Cooper, J. F., and Caputi, A. P.: Clubbing of Digits, Metaplasia of Urinary Bladder and Mucous Diarrhea , Arch. Int. Med. 86:10-21 ( (July) ) 1950.Crossref 6. Fried, B. M.: Chronic Pulmonary Osteoarthropathy: Dyspituitarism as a Probable Cause , Arch. Int. Med. 72:565-580 ( (Nov.) ) 1943.Crossref 7. Bloom, W.: Pituitary Implications in Hypertrophic Pulmonary Osteoarthropathy , Ann. Int. Med. 29:361-370 ( (Aug.) ) 1948.Crossref 8. Pattison, J. D., Jr.; Beck, E., and Miller, W. B.: Hypertrophic Osteoarthropathy in Carcinoma of Lung , J. A. M. A. 146:783-787 ( (June 30) ) 1951.Crossref 9. Case Records of the Massachusetts General Hospital: Case 31281 , New England J. Med. 233: 44-48 ( (July 12) ) 1945.Crossref 10. Mendlowitz, M.: Clubbing and Hypertrophic Osteoarthropathy , Medicine 21:269-306 ( (Sept.) ) 1942. 11. Talbott, J. H., and Montgomery, W. R., Jr.: Familial Clubbing of Fingers and Toes , A. M. A. Arch. Int. Med. 92:697-700 ( (Nov.) ) 1953.Crossref 12. Logue, J. T.: Osteoarthropathy and Simple Clubbing , U. S. Armed Forces M. J. 4:1627-1631 ( (Nov.) ) 1953. 13. Keats, T. E., and Bagnall, W. S.: Chronic Idiopathic Osteoarthropathy , Radiology 62:841-844 ( (June) ) 1954.Crossref 14. Berk, M.: Chronic Idiopathic Hypertrophic Osteoarthropathy , New England J. Med. 247:123-126 ( (July 24) ) 1952.Crossref

Journal

A.M.A. Archives of Internal MedicineAmerican Medical Association

Published: Mar 1, 1956

References