Case Reports

Hypertrophic osteoarthropathy in a child with chronic liver disease

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Celeste Kock, Alta J Terblanche, Dankwart F Wittenberg

Abstract


Hypertrophic osteoarthropathy (HOA) is an uncommon condition in children, consisting of a triad of digital clubbing, non-inflammatory joint effusions and radiographic evidence of periostitis affecting the hands, feet and distal long bones. HOA is classified as primary (idiopathic) or secondary to various diseases. In this case report, we present a patient with secondary HOA associated with biliary atresia and chronic liver disease.


Authors' affiliations

Celeste Kock, Division of Paediatric Gastroenterology, Department of Paediatrics and Child Health, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa

Alta J Terblanche, Division of Paediatric Gastroenterology, Department of Paediatrics and Child Health, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa

Dankwart F Wittenberg, Division of Paediatric Gastroenterology, Department of Paediatrics and Child Health, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa

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Keywords

hypertrophic osteoarthropathy; chronic liver disease; periosteal reactions

Cite this article

South African Journal of Child Health 2014;8(2):80-81. DOI:10.7196/SAJCH.673

Article History

Date submitted: 2013-10-18
Date published: 2014-02-05

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