Hypertrophic osteoarthropathy in renal cell carcinoma - A case report
Autor: | Oh, Kyung Seo, Lee, Seung Young, Min, Se-Hee, Ryu, Choongun, Shin, Hwa-Yong |
---|---|
Rok vydání: | 2021 |
Předmět: |
musculoskeletal diseases
Spinal Pain medicine.medical_specialty Secondary hypertrophic osteoarthropathy Periosteal reaction Arthritis Case Report 030218 nuclear medicine & medical imaging Periostitis 03 medical and health sciences 0302 clinical medicine Renal cell carcinoma Synovitis medicine 030212 general & internal medicine medicine.diagnostic_test business.industry General Medicine medicine.disease Hypertrophic osteoarthropathy Scintigraphy Bone scintigraphy Joint pain Paraneoplastic syndrome Radiology medicine.symptom business |
Zdroj: | Anesthesia and Pain Medicine |
ISSN: | 2383-7977 1975-5171 |
DOI: | 10.17085/apm.20092 |
Popis: | Background Hypertrophic osteoarthropathy (HOA) is a rare clinical condition including an abnormal periosteal reaction in the long bones that causes painful swelling and tenderness of the extremities, digital clubbing, arthritis, synovitis, and joint effusions. Most cases are associated with tumorous conditions and most commonly with lung cancer. HOA has been rarely reported in association with other cancers. Case A patient with a history of recurrent renal cell carcinoma was referred to our clinic with bilateral leg pain, knee joint effusion, and arthritis. Simple radiography and bone scintigraphy confirmed a diagnosis of HOA. Oral non-steroidal anti-inflammatory drugs, joint fluid aspiration, and intra-articular injection of pain medications were found to be effective in the management of HOA pain. Conclusions HOA prognosis depends on the underlying disease, therefore, cancer treatment is critical. This case demonstrates the need to consider HOA in patients with various malignancies who present with bone or joint pain of the extremities. |
Databáze: | OpenAIRE |
Externí odkaz: |