Hypertrophic osteoarthropathy in renal cell carcinoma - A case report -
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...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2021-07-01
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| Series: | Anesthesia and Pain Medicine |
| Subjects: | |
| Online Access: | http://www.anesth-pain-med.org/upload/pdf/apm-20092.pdf |
| _version_ | 1797825376123092992 |
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| author | Kyung Seo Oh Seung Young Lee Se-Hee Min Choongun Ryu Hwa-Yong Shin |
| author_facet | Kyung Seo Oh Seung Young Lee Se-Hee Min Choongun Ryu Hwa-Yong Shin |
| author_sort | Kyung Seo Oh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-13T10:53:13Z |
| format | Article |
| id | doaj.art-47c08c0c13a343e39fc38e1a45740f37 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-13T10:53:13Z |
| publishDate | 2021-07-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-47c08c0c13a343e39fc38e1a45740f372023-05-17T05:48:30ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772021-07-0116329029410.17085/apm.200921078Hypertrophic osteoarthropathy in renal cell carcinoma - A case report -Kyung Seo Oh0Seung Young Lee1Se-Hee Min2Choongun Ryu3Hwa-Yong Shin4 Department of Anesthesiology and Pain Medicine, Chung-Ang University Hospital, Seoul, Korea Department of Anesthesiology and Pain Medicine, Chung-Ang University Hospital, Seoul, Korea Department of Anesthesiology and Pain Medicine, Chung-Ang University Hospital, Seoul, Korea Department of Anesthesiology and Pain Medicine, Chung-Ang University Hospital, Seoul, Korea Department of Anesthesiology and Pain Medicine, Chung-Ang University Hospital, Seoul, KoreaBackground 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.http://www.anesth-pain-med.org/upload/pdf/apm-20092.pdfparaneoplastic syndromeperiostitisrenal cell carcinomascintigraphysecondary hypertrophic osteoarthropathy |
| spellingShingle | Kyung Seo Oh Seung Young Lee Se-Hee Min Choongun Ryu Hwa-Yong Shin Hypertrophic osteoarthropathy in renal cell carcinoma - A case report - Anesthesia and Pain Medicine paraneoplastic syndrome periostitis renal cell carcinoma scintigraphy secondary hypertrophic osteoarthropathy |
| title | Hypertrophic osteoarthropathy in renal cell carcinoma - A case report - |
| title_full | Hypertrophic osteoarthropathy in renal cell carcinoma - A case report - |
| title_fullStr | Hypertrophic osteoarthropathy in renal cell carcinoma - A case report - |
| title_full_unstemmed | Hypertrophic osteoarthropathy in renal cell carcinoma - A case report - |
| title_short | Hypertrophic osteoarthropathy in renal cell carcinoma - A case report - |
| title_sort | hypertrophic osteoarthropathy in renal cell carcinoma a case report |
| topic | paraneoplastic syndrome periostitis renal cell carcinoma scintigraphy secondary hypertrophic osteoarthropathy |
| url | http://www.anesth-pain-med.org/upload/pdf/apm-20092.pdf |
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