Hyperhidrosis and clubbing of finger is also seen . What is the diagnosis ?
Pachydermoperiostosis (PDP): Primary hyperophic osteoahropathy Digital clubbing, pachydermia and subperiosteal new bone formation associated with pain, polyahritis, cutis veicis gyrata, seborrhea and hyperhidrosis. Autosomal dominant trait with incomplete penetrance and is most severe in males. Onset usually occurs in the late teens. Not associated with a family history of the disorder, usually occurs in older men, and is associated with coexisting chronic cardiopulmonary or gastrointestinal neoplasm or infection. Management and treatment Rheumatologic symptoms can be improved by nonsteroidal anti-inflammatory drugs, coicosteroids or colchicine. Clinical improvement of the dermatological symptoms is achieved by retinoids. Plastic surgery may be helpful for facial involvement. Surgical reduction of finger clubbing has been performed with success.
Acromegaly
Rheumatoid ahritis
periostitis
Pachydermoperiostosis
Rheumatoid Ahritis