Is Hypertrophic Osteoarthropathy Associated with Smoking?
|Sahin A1*, Pepeler MS2, Ergene E2, Kucuksahin O3 and Sahin M4|
|1Rheumatology Division, Sanliurfa Education and Research Hospital, Sanliurfa, Turkey|
|2Internal Medicine Unit, Sanliurfa Education and Research Hospital, Sanliurfa, Turkey|
|3Rheumatology Department, Ankara University Medical Faculty, Ankara, Turkey|
|4Physical Therapy and Medicine Unit, Sanliurfa Education and Research Hospital, Sanliurfa, Turkey|
|Corresponding Author :||Ali Sahin
Sanliurfa Education and Research Hospital
Fax: +90 414 318 68 12
E-mail: [email protected]
|Received April 05, 2012; Accepted May 05, 2012; Published May 18, 2012|
|Citation: Sahin A, Pepeler MS, Ergene E, Kucuksahin O, Sahin M (2012) Is Hypertrophic Osteoarthropathy Associated with Smoking? J Clin Case Rep 2:145. doi:10.4172/2165-7920.1000145|
|Copyright: © 2012 Sahin A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Hypertrophic Osteoarthropathy (HOA) is a disease of the joints and bones characterized by advanced clubbing that is bulbous enlargement of the ends of one or more fingers or toes; proliferation and oedema of connective tissue resulting loss of the normal angle between the skin and nail, excessive sponginess of the nail base of the digits of the hands and feet. There is painful periosteal proliferation of long bones such as the radius, ulna, or tibia in clubbing, and the periostitis is often associated with mild fever and arthralgia or joint effusion. There are two accepted types of HOA, primary and secondary. The former is usually inherited and hereditary (idiopathic), while the secondary type seen as a concurrent manifestation of another diseases. Herein, we present a 23-year-old man diagnosed with primary HOA and had only smoking history. After examining the patient, we have concluded that there is possibility of relationship
between the HOA and smoking history.