1. Arthralgia and digital clubbing in a child: hypertrophic osteoarthropathy with inflammatory pseudotumour of the lung
- Author
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Wolfgang Muntean, Eber E, Zach Ms, Gerhard Pichler, and G.H. Thalhammer
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Osteoarthropathy, Primary Hypertrophic ,medicine.medical_treatment ,Immunology ,Plasma Cell Granuloma, Pulmonary ,Lesion ,Pneumonectomy ,Rheumatology ,Internal medicine ,medicine ,Humans ,Immunology and Allergy ,Child ,Inflammatory pseudotumour ,Lung ,medicine.diagnostic_test ,business.industry ,Osteoarthropathy, Secondary Hypertrophic ,Digital Clubbing ,General Medicine ,medicine.disease ,Arthralgia ,Hypertrophic osteoarthropathy ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Female ,Radiology ,medicine.symptom ,Chest radiograph ,business - Abstract
Arthralgia in childhood is an unspecific symptom. One rare cause of arthralgia is hypertrophic osteoarthropathy associated with digital clubbing. We present a child where hypertrophic osteoarthropathy led to the rare diagnosis of an inflammatory pseudotumour of the lung. In a 12-year-old girl with arthralgia and digital clubbing, a chest radiograph disclosed a large round mass in the right upper lobe, and the following chest computed tomography scan showed a large solid homogenous, round, well marginated lesion with little contrast enhancement. A lobectomy of the right upper lobe was performed, and histological examination showed an inflammatory pseudotumour. The postoperative course was without problems: arthralgia and digital clubbing disappeared.
- Published
- 2004