PMC5237730_01
Severe digital clubbing.
CRIRH2017-2583762.001.jpg
PMC5237730_01_CRIRH2017-2583762.001.jpg
fig1
He was found to have severe bilateral clubbing of the fingernails and toenails along with osteoarthropathic changes in the hand joints (as illustrated in Figure 1).
Course periosteal thickening along distal tibia and fibulae.
CRIRH2017-2583762.002.jpg
PMC5237730_01_CRIRH2017-2583762.002.jpg
fig2
An x-ray of his legs showed coarse periosteal thickening along the distal ends of the tibia and fibulae (as shown in Figure 2); knee and forearm x-rays (Figure 3) showed periosteal reaction along the long bones with left knee effusion.
Marked cortical thickening of the radius and ulna.
CRIRH2017-2583762.003.jpg
PMC5237730_01_CRIRH2017-2583762.003.jpg
fig3
An x-ray of his legs showed coarse periosteal thickening along the distal ends of the tibia and fibulae (as shown in Figure 2); knee and forearm x-rays (Figure 3) showed periosteal reaction along the long bones with left knee effusion.