[Primary hypertrophic osteoarthropathy].

A case of the very rare primary-hypertrophic-osteoarthropathy (Touraine-Solente-Golé-Syndrome) is reported. A middle-aged women was suffering from chronic joint- and limb-pain for more than twenty years. All diagnostical experiences only showed a cortical thickening mainly of the tubular bones and a craniosclerosis but no link for the possible origin. As typical for the disease, periosteal reactions could be discovered in X-ray examinations too. Thickening of the facial skin as well as drumstick-configurations of the fingers could be seen. A pulmonary affection leading to a secondary pulmonary osteoarthropathy (Pierre-Marie-Bamberger's Syndrome) could be excluded. The syndrome presented here is only to be found in 3 to 5% of all cases with hypertrophic osteoarthropathy. It is a rare differential-diagnosis of chronic bone and joint pain.