Journal of Bone Metabolism  2014;21(2):151-154

doi:10.11005/jbm.2014.21.2.151

Hypertrophic Osteoarthropathy in Patient with Crohn's Disease: A Case Report.

Sung Min RHEE 1 ; Ki Jeong PARK ; Yong Chan HA

Affiliations

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Keywords

Crohn's disease; Hypertrophic osteoarthropathy; Periostitis

Country

Republic of Korea

Language

English

Abstract

Numerous causes of hypertrophic osteoarthropathy (HOA) have been reported. Commonly, secondary osteoarthropathy accompanies pulmonary diseases such as carcinoma of the lung, pleural tumors, lung abscesses, and bronchiectasis. However, HOA in inflammatory bowel disease is a rare complication. There are only a few reports of secondary HOA with Crohn's disease. Our purpose was to report another case of HOA in Crohn's disease. We describe a case of a 27-year-old man with underlying Crohn's disease presenting with 2 years of pain in multiple joints. Radiographic findings suggested HOA in extremities. We performed a conservative treatment including medication and rehabilitations. The patient's symptoms were much improved at the latest follow-up. Although numerous studies on HOA have been published, the pathogenesis of HOA is still unclear. Various treatment modalities were recommended but further studies to uncover the pathogenesis of HOA with Crohn's disease and to establish a treatment modality are needed.