case_images: PMC3277474_01
case_images: Bilateral knee effusion.
case_images: 1752-1947-6-31-1.jpg
case_images: PMC3277474_01_1752-1947-6-31-1.jpg
case_images: F1
case_images: A physical examination revealed pachydermia with a thickening of his forehead folds, and effusion at his knees and ankles (Figures 1 and 2).
case_images: Hypertrophy of his feet and ankles with edema.
case_images: 1752-1947-6-31-2.jpg
case_images: PMC3277474_01_1752-1947-6-31-2.jpg
case_images: F2
case_images: A physical examination revealed pachydermia with a thickening of his forehead folds, and effusion at his knees and ankles (Figures 1 and 2).
case_images: Enlargement of his hands and deformity of his fingernails (clubbing).
case_images: 1752-1947-6-31-3.jpg
case_images: PMC3277474_01_1752-1947-6-31-3.jpg
case_images: F3
case_images: Others abnormalities were observed, which included enlargement of his extremities (hands and feet; Figure 3), palmoplantar hyperhidrosis and cutis verticis gyrata (Figure 4).
case_images: Cutis verticis gyrata.
case_images: 1752-1947-6-31-4.jpg
case_images: PMC3277474_01_1752-1947-6-31-4.jpg
case_images: F4
case_images: Others abnormalities were observed, which included enlargement of his extremities (hands and feet; Figure 3), palmoplantar hyperhidrosis and cutis verticis gyrata (Figure 4).
case_images: X-ray of both hands showing periostosis.
case_images: 1752-1947-6-31-5.jpg
case_images: PMC3277474_01_1752-1947-6-31-5.jpg
case_images: F5
case_images: 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).
case_images: X-ray of both legs showing periosteal reaction.
case_images: 1752-1947-6-31-6.jpg
case_images: PMC3277474_01_1752-1947-6-31-6.jpg
case_images: F6
case_images: 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).