Unilateral Hypertrophic Osteoarthropathy in a Patient With a Vascular Graft Infection

被引：5

作者：

Ahrenstorf, Gerrit ^{[1
]}

Rihl, Markus ^{[2
]}

Pichlmaier, Maximilian A. ^{[3
]}

Rosenthal, Herbert ^{[4
]}

Witte, Torsten ^{[1
]}

Schmidt, Reinhold E. ^{[1
]}

机构：

[1] Hannover Med Sch, Clin Immunol & Rheumatol, D-30625 Hannover, Germany

[2] Hannover Med Sch, Clin Rehabil Med, D-30625 Hannover, Germany

[3] Hannover Med Sch, Clin Heart Thorac Transplantat & Vasc Surg, D-30625 Hannover, Germany

[4] Hannover Med Sch, Inst Radiol, D-30625 Hannover, Germany

来源：

JCR-JOURNAL OF CLINICAL RHEUMATOLOGY | 2012年 / 18卷 / 06期

关键词：

hypertrophic osteoarthropathy; digital clubbing; vascular graft infection; PROSTHESIS;

D O I：

10.1097/RHU.0b013e3182614d08

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a patient who presented with high fever; a unilateral, palpable tender swelling along the right shin; and effusions in knee and ankle joints leading to the diagnosis of hypertrophic osteoarthropathy (HOA). The diagnostic workup revealed an infected vascular graft that had been implanted 2 years before because of a ruptured infrarenal aortic aneurysm as the cause of HOA. The patient was treated successfully with antibiotics and surgically replacing the infected graft. Hypertrophic osteoarthritis is a clinical entity characterized by digital clubbing, periostitis, and synovial effusions. Primary and secondary forms have been described. Secondary HOA develops as a consequence of various diseases, mainly intrathoracic malignancies. Vascular graft infection, as reported here, is a rare cause of HOA. This case underlines the typical clinical features of HOA and the importance of a prompt and comprehensive diagnostic workup in cases of HOA. Our aim is to sharpen the awareness of its multiple underlying causes. Unilateral HOA is a rare but strong and important sign of infection of vascular prosthesis.

引用

页码：307 / 309

页数：3

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