Recurrent hypertrophic pulmonary osteoarthropathy in an adult with bronchiectasis

Abstract

Hypertrophic pulmonary osteoarthropathy (HPOA) is a well‐documented complication of pulmonary malignancy and cystic fibrosis (CF). However, HPOA associated with exacerbations of non‐CF bronchiectasis has only been reported once previously in an adolescent. We describe a case of an adult patient with bronchiectasis and HPOA, whose joint symptoms flared during pulmonary exacerbations and improved with treatment of each exacerbation.

Musculoskeletal Abnormalities Caused by Cystic Fibrosis

“…Radiographs can help differentiate HOA from CFA due to characteristic periosteal elevation on the distal aspect of the tubular bones [81]. HPOA is also more commonly seen after initiation of a pulmonary exacerbation [82]. CF patients presenting with HOA also typically present with polyarthralgia, which may allow physicians to differentiate it from septic arthritis.…”