Author(s)

Adamu G. Umar^1*, Philip B. Adebayo^2,3, Abdullahi A.⁴, Ibok I. Okon¹, Umenze Ikenna¹

¹Department of Medicine, Federal Medical Centre, Bida, Nigeria.
²Department of Medicine, Ladoke Akintola University of Technology, Ogbomoso, Nigeria.
³Department of Medicine, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Nigeria.
⁴Department of Nursing Services, General Hospital, Minna, Nigeria.

Hypertrophic osteoathropathy is characterized by triad of digital clubbing, periostosis, and pachyderma. We report the case of a young male Nigerian with asymptomatic idiopathic digital clubbing with neither skin changes nor periosteal reaction. He presented to our hospital with swelling of fingers and toes of about six years’ duration. All his fingers and toes were clubbed with drumstick appearance, no swelling or tenderness of the wrists, elbows, ankles or knees and no skin changes. The laboratory findings were normal. Primary hypertrophic osteoathropathy without pachydermia was entertained when neither skin changes nor periostosis were found. Although primary hypertrophic osteoathropathy without skin involvement is rare, effort should be made to search for secondary causes.

Osteoarthropathy, Periostosis, Pachyderma, Idiopathic

Umar, A. , Adebayo, P. , A., A. , Okon, I. and Ikenna, U. (2015) Hypertrophic Osteoathropathy without Pachyderma in a Nigerian: A Case Report. World Journal of Cardiovascular Diseases, 5, 166-170. doi: 10.4236/wjcd.2015.56019.