Hypertrophic osteoarthropathy in a child with extrahepatic biliary atresia Ekstrahepatik biliyer atrezili bir çocukta hipertrofik osteoartropati

KULOĞLU Z., KANSU TANCA A., Ekici F., Demirçeken F., Tutar E., Girgin N.

Cocuk Sagligi ve Hastaliklari Dergisi, cilt.47, sa.3, ss.189-193, 2004 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 47 Sayı: 3
  • Basım Tarihi: 2004
  • Dergi Adı: Cocuk Sagligi ve Hastaliklari Dergisi
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.189-193
  • Anahtar Kelimeler: Children, Extrahepatic biliary atresia, Hypertrophic osteoarthropathy, Liver failure
  • Ankara Üniversitesi Adresli: Evet

Özet

Hypertrophic osteoarthropathy (HO) is a syndrome characterized by clubbing of the fingers and toes, periosteal reaction and arthritis. It is rarely seen in childhood. There are a few reports in the literature of pediatric patients biliary atresia who developed HO. It has been suggested that pulmonary arteriovenous shunting plays an important role in the pathogenesis. Steroid and nonsteroid antiinflammatory therapy can be helpful in symptomatic patients. Here, we present a girl patient diagnosed as biliary atresia who developed HO in follow-up. We want to emphasize that children with chronic liver disease who present with finger clubbing or soft tissue hypertophy of the fingers should be a warning for hepatic hypertrophic osteoarthropathy (HHO). Furthermore, HHO should be considered in differential diagnosis in the cases of arthritis and arthralgia.