Thyroid Acropachy.
- Author:
Jae Hyun CHO
;
Hyeon Man KIM
;
Kyi Beom LEE
;
Myeong Ryeol SONG
;
Byoung Suck KIM
- Publication Type:Case Report
- Keywords:
Graves' Oisease;
Thyroid Acropachy
- MeSH:
Exophthalmos;
Female;
Fingers;
Graves Disease;
Humans;
Metatarsal Bones;
Middle Aged;
Myxedema;
Osteogenesis;
Thyroid Gland*
- From:The Journal of the Korean Orthopaedic Association
1999;34(1):259-264
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Thyroid acropachy is a rare complication of Graves' disease, manifested by clubbing of the terminal phalanges, periosteal new bone formation and overlying soft tissue swelling, It may occur when the patient is hypothyroid, euthyroid or hyperthyroid. In most cases, it is a part of the syndrome, including exophthalmos and/or pretibial myxedema. The authors have experienced one case of thyroid acropachy and report with a review of the literature review. The patient a 56-year-old female with a characteristic feathery new bone formation on the medial side of the shaft of the left first metatarsal bone and overlying soft tissue swelling. However, there was no pretibial myxedema and clubbing of fingers. She was hypothyroid and treated with systemic corticosteroid for mild pain and persistent swelling. The treatment had temporarily improved the patient's condition.
