A rare case of Pachydermoperiostosis

Abstract

A 26 year old male presented with asymptomatic swellings of the distal parts of all the fingers & toes since last 20 years which was gradually progressive for the initial 15 years & pain over the right knee joint of 2-week duration. On clinical examination there was grade IV clubbing in all the fingers & toe nails. X-ray examination showed periostitis of both the hands, feet & leg bones. Rest of the dermatological examination & ECG was within normal limits.