Let's go through quick review regarding Thyroid Acropachy!
1)It is an uncommon finding of Graves disease.
2)It is a triad of clubbing+swelling of soft tissue of digits + periosteal reaction of extremity bones.
3)It is usually associated with Thyroid Ophthalmopathy and Dermopathy.
X ray findings-Hands and feet involvement,soft tissue swelling, fluffy, asymmetric periosteal reaction
Skin biopsy- Fibroblast activation and GAG deposition.
Differentials:
1)Pulmonary Osteoarthropathy-.
2)Symmetric periosteal reaction -can involve long bones of forearms and legs
Treatment-
No Specific treatment available, Treatment directed at associated Ophthalmopathy and Dermopathy using Local corticosteroids and systemic immunosuppressive therapy.
By Parneet kaur
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