<span style="font-family:Verdana;">Secondary hypertrophic osteoarthropathy, or Pierre-Marie Bamberger syndrome, is characterized by the association of digital clubbing, polyarthritis and periostitis af...<span style="font-family:Verdana;">Secondary hypertrophic osteoarthropathy, or Pierre-Marie Bamberger syndrome, is characterized by the association of digital clubbing, polyarthritis and periostitis affecting the long bones. Most commonly it is a paraneoplastic syndrome associated with lung cancer in 80% of cases. We report the case of a 49-year-old female patient who is actively smoking, one pack per day for 20 years. Seen in consultation for pain and swelling of the hands, elbows, knees, ankles, and feet evolving for about 5 months, associated with a poorly differentiated pulmonary adenocarcinoma. On history, she told us about a weight loss of about 8 kg, no fever, no cough, no family history of inflammatory rheumatism or cancer. Bilateral digital clubbing was noted. The diagnosis was based on imaging and histology. Treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) and chemo-radiotherapy was started.</span>展开更多
Digital clubbing,which has been recognized as a sign of systemic disease,is one of the most ancient diseases.However,the pathogenesis of clubbing and hypertrophic osteoarthropathy has hitherto been poorly understood.T...Digital clubbing,which has been recognized as a sign of systemic disease,is one of the most ancient diseases.However,the pathogenesis of clubbing and hypertrophic osteoarthropathy has hitherto been poorly understood.The study of a clinically indistinguishable idiopathic form(primary hypertrophic osteoarthropathy,PHO)provides an opportunity to understand the pathogenesis of hypertrophic osteoarthropathy.Current advances in the study of PHO are discussed.The impaired metabolism of prostaglandin E2(PGE2)plays a central role in its pathogenesis.展开更多
心肌病是指心肌的运动或电活动异常产生的心肌结构和(或)功能异常的一类器质性疾病。1995年,世界卫生组织和国际心脏病学会(World Health Organization/International Society and Federafion of Cardiology,WHO/ISFC)将心肌病定义为伴...心肌病是指心肌的运动或电活动异常产生的心肌结构和(或)功能异常的一类器质性疾病。1995年,世界卫生组织和国际心脏病学会(World Health Organization/International Society and Federafion of Cardiology,WHO/ISFC)将心肌病定义为伴心功能不全的心肌疾病,分为原发性和继发性[1]。2006年,美国心脏病协会(American Heart Association,AHA)对心肌病的分类、发病机制、临床表现发表新的专家共识,心肌病定义为由各种病因导致的一类非均质的心肌病变,强调遗传基因在病因学上的重要性,包括心脏机械运动和电生理的异常[2]。展开更多
文摘<span style="font-family:Verdana;">Secondary hypertrophic osteoarthropathy, or Pierre-Marie Bamberger syndrome, is characterized by the association of digital clubbing, polyarthritis and periostitis affecting the long bones. Most commonly it is a paraneoplastic syndrome associated with lung cancer in 80% of cases. We report the case of a 49-year-old female patient who is actively smoking, one pack per day for 20 years. Seen in consultation for pain and swelling of the hands, elbows, knees, ankles, and feet evolving for about 5 months, associated with a poorly differentiated pulmonary adenocarcinoma. On history, she told us about a weight loss of about 8 kg, no fever, no cough, no family history of inflammatory rheumatism or cancer. Bilateral digital clubbing was noted. The diagnosis was based on imaging and histology. Treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) and chemo-radiotherapy was started.</span>
文摘Digital clubbing,which has been recognized as a sign of systemic disease,is one of the most ancient diseases.However,the pathogenesis of clubbing and hypertrophic osteoarthropathy has hitherto been poorly understood.The study of a clinically indistinguishable idiopathic form(primary hypertrophic osteoarthropathy,PHO)provides an opportunity to understand the pathogenesis of hypertrophic osteoarthropathy.Current advances in the study of PHO are discussed.The impaired metabolism of prostaglandin E2(PGE2)plays a central role in its pathogenesis.
文摘心肌病是指心肌的运动或电活动异常产生的心肌结构和(或)功能异常的一类器质性疾病。1995年,世界卫生组织和国际心脏病学会(World Health Organization/International Society and Federafion of Cardiology,WHO/ISFC)将心肌病定义为伴心功能不全的心肌疾病,分为原发性和继发性[1]。2006年,美国心脏病协会(American Heart Association,AHA)对心肌病的分类、发病机制、临床表现发表新的专家共识,心肌病定义为由各种病因导致的一类非均质的心肌病变,强调遗传基因在病因学上的重要性,包括心脏机械运动和电生理的异常[2]。
