Images in Clinical Rheumatology
Hypertrophic Osteoarthropathy Associated to Liver Cirrhosis
Osteoartropatía hipertrófica asociada a cirrosis hepática
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"documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2013;9:246-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3001 "formatos" => array:3 [ "EPUB" => 54 "HTML" => 2433 "PDF" => 514 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Sweet Syndrome Associated With Myelodysplastic Syndrome: Report of a Case. Review of the Literature" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "246" "paginaFinal" => "247" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Sweet asociado a síndrome mielodisplásico: a propósito de un caso. 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The patient was diagnosed with liver cirrhosis and severe hepatopulmonary syndrome. Physical examination showed swelling of the knees and wrists (arthritis) and clubbing. The X-rays requested showed periosteal thickening observed continuously, in a diaphysometaphysiary location of the radius and ulna in both forearms, and predominantly in distal femurs and both knees, compatible with nonaggressive periosteal reaction. <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> shows periosteal thickening affecting both femurs on the concave bone edge and respecting the epiphysis, and equal involvement of the radius and ulna on the right wrist, in <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The findings on physical examination were finger-clubbing and arthritis of the hands and knees, and the radiological presence of continuous noninvasive periostitis of the concave edge affecting the long bones of both the upper and lower extremities, with a diagnosis of hypertrophic osteoarthropathy. This clinical entity is mainly associated with intrathoracic processes (especially malignancy, namely lung cancer and pleural tumors), but also other diseases among which one can include liver disease (hepatocellular carcinoma, alcoholic hepatitis and both Portal biliary cirrhosis and cirrhosis of the liver).<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In our case, the patient was treated with chemoembolization of the hepatocellular carcinoma, and is currently in alcohol detoxification using anti-inflammatory drugs for osteoarticular involvement.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Ethical Considerations</span><p id="par0020" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Protection of persons and animals</span>. No experiments were performed on humans or animals.<span class="elsevierStyleVsp" style="height:0.5px"></span><span class="elsevierStyleBold">Data confidentiality</span>. Patient data does not appear in this article.<span class="elsevierStyleVsp" style="height:0.5px"></span><span class="elsevierStyleBold">Right to privacy and informed consent</span>. Authors obtained informed consent from patients and/or subjects referred to in this paper. These are in the hands of the corresponding author.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Disclosures</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have no disclosures to make.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethical Considerations" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Disclosures" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please, cite this article as: Morán LM, Ariza A. Osteoartropatía hipertrófica asociada a cirrosis hepática. Reumatol Clin. 2013;9:248–9.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1346 "Ancho" => 1667 "Tamanyo" => 105684 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Periosteal thickening of both femurs.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2374 "Ancho" => 1583 "Tamanyo" => 325435 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Ulna and radius affection.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Contribuciones de la Reumatología Mexicana al conocimiento médico. Osteoartropatía hipertrófica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Martínez-Lavín" 1 => "C. Pineda" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Mex Reumatol" "fecha" => "2001" "volumen" => "16" "paginaInicial" => "223" "paginaFinal" => "226" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hypertrophic osteoarthropathy: a palindrome with a pathogenic connotation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Martinez-Lavin" 1 => "A. Vargas" 2 => "M. Rivera-Viñas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/BOR.0b013e3282f14a5a" "Revista" => array:6 [ "tituloSerie" => "Curr Opin Rheumatol" "fecha" => "2008" "volumen" => "20" "paginaInicial" => "88" "paginaFinal" => "91" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18281863" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Osteoartropatía hipertrófica primaria (paquidermoperiostosis). Aportación de 2 casos familiares y revisión de la literatura" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N. Gómez Rodríguez" 1 => "J. Ibáñez Ruán" 2 => "M. González Pérez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rheumatol Clin" "fecha" => "2009" "volumen" => "5" "paginaInicial" => "259" "paginaFinal" => "263" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000900000004/v1_201307160008/S2173574312001669/v1_201307160008/en/main.assets" "Apartado" => array:4 [ "identificador" => "5795" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Clinical Rheumatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000900000004/v1_201307160008/S2173574312001669/v1_201307160008/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574312001669?idApp=UINPBA00004M" ]
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| 2013 November | 39 | 10 | 49 |
| 2013 October | 70 | 4 | 74 |
| 2013 September | 56 | 8 | 64 |
| 2013 August | 81 | 33 | 114 |
| 2013 July | 40 | 18 | 58 |
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