case_images: PMC5237730_01
case_images: Severe digital clubbing.
case_images: CRIRH2017-2583762.001.jpg
case_images: PMC5237730_01_CRIRH2017-2583762.001.jpg
case_images: fig1
case_images: 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).
case_images: Course periosteal thickening along distal tibia and fibulae.
case_images: CRIRH2017-2583762.002.jpg
case_images: PMC5237730_01_CRIRH2017-2583762.002.jpg
case_images: fig2
case_images: 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.
case_images: Marked cortical thickening of the radius and ulna.
case_images: CRIRH2017-2583762.003.jpg
case_images: PMC5237730_01_CRIRH2017-2583762.003.jpg
case_images: fig3
case_images: 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.