What is the most likely diagnosis?
- 79 year-old male with burning leg pain
Tc99m Bone Scan
- Chronic venous insufficiency
- Paget Disease
- Shin splints
- Osteosarcoma
- Hypertrophic osteoarthropathy
Additional Images - Frontal view of both knees
Additional Images
Frontal view of both knees
Answer:
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5. Hypertrophic Osteoarthropathy
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Hypertrophic Osteoarthropathy
General Considerations
- Clinical syndrome consisting of clubbing of the fingers and toes
- Painful and swollen joints
- Symmetric periostitis especially involving the tibia and fibula, radius and ulna
- Most often secondary to an intrathoracic neoplasm or infection
- Primary form is called pachydermoperiostitis
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