タイトル
Vol.39 No.3 contents Japanese/English

- Case Report -

The Effectiveness of Thermography for the Diagnosis and Follow-up of Hypertrophic Pulmonary Osteoarthropathy

Yoshiki Demura, Yoshitaka Totani, Seiji Tsubosaka, Shingo Ameshima, Takeshi Ishizaki and Isamu Miyamori
Third Department of Internal Medicine, Fukui Medical University

A 48-year-old woman with primary lung cancer was admitted to our hospital complaining of finger clubbing and progressive polyarthralgia. Pulmonary hypertrophic osteoarthropathy (PHO) associated with primary lung cancer was diagnosed based on a bone scintigram showing abnormal uptakes and a thermogram showing an increased blood flow in all distal digits. Resection was performed. The histological diagnosis was well differentiated adenocarcinoma. Her symptoms rapidly improved after the operation. The abnormal findings of the bone scintigram and thermogram synchronously improved until 4 months after surgery. The thermogram was valuable in the diagnosis and follow-up of PHO.
key words: Pulmonary hypertrophic osteoarthropathy, Thermography, Lung cancer, Clubbing

Received: January 28, 1999
Accepted: March 26, 1999

JJLC 39 (3): 331-337, 1999

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