Wednesday, January 16, 2019

Submission: Thyroid Acropachy

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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