pachydermoperiostosis

"idiopathic, familial hypertrophic osteoarthropathy"

boys at puberty
blacks > whites
familial
periosteal reaction
- proximal phalanges, distal long bones of legs and forearms
- cortical thickening without medullary narrowing
thick skin: extremities + forehead
hyperhidrosis
relatively pain free

Charles E. Kahn, Jr., MD - 2 February 1995
Last updated: 1 October 2013