Evaluation of Pulmonary Hypertrophic Osteoarthropathy in Cystic Fibrosis

Autor: Steven B. Sorin, Kenneth B. Wasser, Paul K. Jones, Paul J. Vignos, Alan M. Cohen, Barry S. Yulish
Rok vydání: 1986
Předmět:
Zdroj: American Journal of Diseases of Children. 140:74
ISSN: 0002-922X
DOI: 10.1001/archpedi.1986.02140150076042
Popis: • A questionnaire survey of 375 patients with cystic fibrosis was performed to seek evidence of pulmonary hypertrophic osteoarthropathy (PHOA). Three hundred responses were obtained. Forty-five patients (15%) who described long-bone or joint pain met clinical criteria for the diagnosis of PHOA, 25 of whom had roentgenographic evidence of periostitis. Compared with an age-and sex-matched control group (group 3), the patients with cystic fibrosis and PHOA as well as roentgenographic evidence of periostitis (group 1) had worse Shwachman scores and pulmonary function and a significantly increased mortality rate (36%). The patients with PHOA but no roentgenographic evidence of periostitis (group 2) had Shwachman scores intermediate between groups 1 and 3. We believe PHOA is more common than previously suspected. Its incidence appears related to severity of disease. ( AJDC 1986;140:74-77)
Databáze: OpenAIRE