Self-assessment questions
Neurological disturbances in a rare primary osteoarthropathy
Francesco Paolo Cantatore, Carmine Alessandro Acquista, Vincenzo Pipitone
Dipartimento di
Medicina Interna e del Lavoro, Sezione di Reumatologia, Università
degli Studi di Bari, Bari, Italy
Correspondence to: Dr FP Cantatore, Via dell'Andro 21, 70037 Ruvo (Bari), Italy
Accepted 22 June
1998
| The first 150 words of the full text of this article appear below. |
 |
Introduction |
|---|
A 40-year-old man and a 29-year-old woman with clubbed fingers and toes and other foot and knee deformities presented with symptoms of pain and paraesthesia in the forearms and hands which were more intense during the night, for 5 and 2 years, respectively. Skeletal X-ray showed general soft-tissue swelling with digital clubbing, irregular periosteal proliferation with cortical thickening of the radii, ulnae, metacarpal and metatarsal bones, phalanges, femur, tibiae and fibulae. Mega-epiphysis of radii, femur and tibiae were also noted (figure). There was no evidence of pulmonary and cardiovascular diseases.
Ultrasound examination excluded, in both cases, the presence of flexor tenosynovitis or arthritis of the wrist. A series of investigations was carried out in order to exclude coexisting diseases such as diabetes, gout or pseudogout, connective tissue diseases, and hyper- or hypothyroidism. Other conditions, such as pregnancy, or mechanical causes were also excluded.
In both cases clinical assessment showed positive Tinel's sign
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
