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Hypertrophic osteoarthropathy in a patient with known lung cancer
  1. Jeremy Neale1,
  2. James Cameron Spence1,
  3. Ajay Varghese2
  1. 1 Dorset County Hospital NHS Foundation Trust, Dorchester, UK
  2. 2 Department of Radiology, Dorset County Hospital NHS Foundation Trust, Dorchester, UK
  1. Correspondence to Dr Jeremy Neale, Dorset County Hospital NHS Foundation Trust, Dorchester DT1 2JY, UK; jeremy.neale{at}dchft.nhs.uk

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A 59-year-old male smoker presented with wrist pain following a fall onto an outstretched hand. A wrist radiograph demonstrated bilateral smooth periosteal reaction affecting the distal radius and ulna (figure 1).

Figure 1

Right wrist X-ray: bilateral smooth periosteal reaction affecting the distal radius and ulna.

One month prior, the patient had presented with cough and dyspnoea. Chest radiograph and a CT at that time demonstrated …

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