Kim Joshua, Hoque Farzana
Department of Medicine Saint Louis University School of Medicine.
Department of Medicine St Louis University School of Medicine.
J Brown Hosp Med. 2024 Jul 1;3(3):117078. doi: 10.56305/001c.117078. eCollection 2024.
Hypertrophic osteoarthropathy (HOA) is a syndrome that presents with classic findings of digital clubbing, arthralgia, and periostosis of tubular bones. When HOA is associated with pulmonary pathologies such as lung malignancies, it is referred to as hypertrophic pulmonary osteoarthropathy (HPOA). We present a case of an elderly woman who presents with significant pain in both hands and was eventually diagnosed with lung malignancy. This case is of interest to hospital-based internists to ensure timely diagnosis of HPOA so a brief overview of the presentation, laboratory findings, and treatment of HPOA is discussed.
肥厚性骨关节病（HOA）是一种具有杵状指、关节痛和管状骨骨膜增生等典型表现的综合征。当HOA与肺部疾病如肺恶性肿瘤相关时，称为肥厚性肺骨关节病（HPOA）。我们报告一例老年女性病例，该患者双手出现明显疼痛，最终被诊断为肺恶性肿瘤。本文讨论该病例旨在引起医院内科医生对及时诊断HPOA的重视，因此简要概述了HPOA的临床表现、实验室检查结果及治疗方法。
