Thyroid acropachy

Discussion:

The findings in a 55 year old patient with hyperthyroidism are compatible with thyroid acropachy.

Thyroid acropachy is an uncommon manifestation of autoimmune thyroid disease which presented with digital clubbing, swelling of digits and toes, and periosteal reaction of extremity bones. The term acropachy is a Greek word for thickening of the extremities. It is almost always associated with thyroid ophthalmopathy and dermopathy.

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