PMC3277474_01
Bilateral knee effusion.
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F1
A physical examination revealed pachydermia with a thickening of his forehead folds, and effusion at his knees and ankles (Figures 1 and 2).
Hypertrophy of his feet and ankles with edema.
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F2
A physical examination revealed pachydermia with a thickening of his forehead folds, and effusion at his knees and ankles (Figures 1 and 2).
Enlargement of his hands and deformity of his fingernails (clubbing).
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F3
Others abnormalities were observed, which included enlargement of his extremities (hands and feet; Figure 3), palmoplantar hyperhidrosis and cutis verticis gyrata (Figure 4).
Cutis verticis gyrata.
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F4
Others abnormalities were observed, which included enlargement of his extremities (hands and feet; Figure 3), palmoplantar hyperhidrosis and cutis verticis gyrata (Figure 4).
X-ray of both hands showing periostosis.
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F5
An X-ray of his bones showed irregular periosteal hypertrophy with bone formation affecting his long bones, metacarpals and phalanges bilaterally (Figures 5 and 6).
X-ray of both legs showing periosteal reaction.
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F6
An X-ray of his bones showed irregular periosteal hypertrophy with bone formation affecting his long bones, metacarpals and phalanges bilaterally (Figures 5 and 6).