Korean J Gastroenterol.  1999 May;33(5):723-729.

Crohn's Disease As sociated with Pachydermoperiostosis

Abstract

Pachydermoperiostosis is a rare hereditary syndrome characterized by finger clubbing, periosteal change, pachydermia and autonomic nervous system symptoms such as facial flushing and hy perhidrosis. This syndrome is known to be associated with a variety of diseases such as cranial suture defect, female escuchen, bone marrow failure, hypertrophic gastropathy and Crohn' s disease. Crohn' s disease is a chronic idiopathic inflammatory disease of the intestine and frequently presents many kinds of extraintestinal manifestations including finger clubbing. Recently, Compton et al. reported 3 patients with Crohn' s disease associated with pachydermoperiostosis in a family as a new syndrome Recently, we have also experienced 3 patients with pachydermoperiostosis in a family. One of them developed Crohn' s disease at 45 years of age. The elder sister of the proband had protein loosing enteropathy without a significant morphological change of gastrointestinal tract. The younger brother had experienced repeated gastrointestinal bleeding caused by multiple ileal ulcer.

Keyword

Crohn' s disease; Pachydermoperiostosis

MeSH Terms

Autonomic Nervous System
Bone Marrow
Cranial Sutures
Crohn Disease*
Female
Fingers
Flushing
Gastrointestinal Tract
Hemorrhage
Humans
Intestines
Osteoarthropathy, Primary Hypertrophic*
Siblings
Ulcer
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