case_images: PMC9410991_01
case_images: Digital clubbing and positive Schamroth's sign.
case_images: CRIRH2022-5429138.001.jpg
case_images: PMC9410991_01_CRIRH2022-5429138.001.jpg
case_images: fig1
case_images: A musculoskeletal examination revealed a digital clubbing with Schamroth's sign (Figure 1), bilateral and symmetric swelling of the elbow, wrist, and ankles.
case_images: (a) Chest CT showing an apical pulmonary cavity in the right lung with bronchiolitis and hilar lymphadenopathy. (b) The chest CT performed 8 months later showing a regression of the pulmonary cavity (arrowhead).
case_images: CRIRH2022-5429138.002.jpg
case_images: PMC9410991_01_CRIRH2022-5429138.002.jpg
case_images: fig2
case_images: A chest X-ray and computed tomography (CT) showed an apical pulmonary cavity in the right lung with bronchiolitis and hilar lymphadenopathy (Figure 2(a)). Chest CT performed two months after stopping treatment showed regression of the lung cavity (Figure 2(b)).
case_images: (a) Bone scan showing increased radiotracer uptake (arrow) along the tubular bones of the upper and lower extremities consisting with periostosis. (b) The whole-body scan performed 14 months later showing the improvement of the scintigraphic abnormalities.
case_images: CRIRH2022-5429138.003.jpg
case_images: PMC9410991_01_CRIRH2022-5429138.003.jpg
case_images: fig3
case_images: Bone scintigraphy showed longitudinally radiotracer uptake along all long bones of the upper and lower extremities confirm periostosis of the tubular bones (Figure 3(a)). Bone scintigraphy performed six months later showed improvement in scintigraphic abnormalities (Figure 3(b)).