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다발신경병증의 양상을 보이는 환자에서 발견된 비후성 폐성 골관절증 - 증례 보고 -

Hypertrophic Pulmonary Osteoarthropathy in a Patient with Polyneuropathy - A Case Report -

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초록

Hypertrophic pulmonary osteoarthropathy (HPOA) is a syndrome defined by digital clubbing and periostosis of the tubular bones. It is associated with medical conditions such as lung cancer, and other systemic illnesses with pulmonary involvement. Symptoms may include a severe burning, dysesthesia and deepseated pain in the distal extremities. So it could be misdiagnosed as peripheral neuropathy such as carpal tunnel syndrome or tarsal tunnel syndrome. We hereby report a case of HPOA due to lung cancer. Through the recognition of this disorder, clinician (especially, neurologist or physiatrist) may be helped with avoiding of misdiagnosis and with early detection of lung cancer.

Abstract

Hypertrophic pulmonary osteoarthropathy (HPOA) is a syndrome defined by digital clubbing and periostosis of the tubular bones. It is associated with medical conditions such as lung cancer, and other systemic illnesses with pulmonary involvement. Symptoms may include a severe burning, dysesthesia and deepseated pain in the distal extremities. So it could be misdiagnosed as peripheral neuropathy such as carpal tunnel syndrome or tarsal tunnel syndrome. We hereby report a case of HPOA due to lung cancer. Through the recognition of this disorder, clinician (especially, neurologist or physiatrist) may be helped with avoiding of misdiagnosis and with early detection of lung cancer.

참고문헌 (10)

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  10. Atkinson S, "Vascular endothelial growth factor-A and platelet-derived growth factor play a central role in the pathogenesis of digital clubbing", J Pathol, 203, pp.721~728 (2004)

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