What is Hyperthropic Osteoarthropathy
| 5th January 2007 |
Hyperthropic osteoarthropathy is defined an excess bone and skin proliferation observable in the farther extremities. Simply said, this is a disease of the bones and joints. Large platelets accumulating in the extremities cause this condition. And unfortunately for some, this disease lurks inside a person and leaving it undetected right away. This condition is primarily caused by cardiovascular disorders such as bacterial endocarditis and cardiac tumors, among others. Pulmonary diseases and gastrointestinal disorders can also contribute to the onset of this disease.
Cardiac Causes of Hypertrophic Osteoarthropathy
Aside from bacterial endocarditis and cardiac tumors being the main cause of this disease as stated above, it may also be caused by cyanotic congenital heart diseases. Cyanotic congenital heart diseases are more commonly referred to as the blue baby syndrome and newborn infants commonly suffers from it the most.
Aortic aneurysm and secondary polycythemia are two more examples of heart conditions that can cause this disease. Aortic aneurysm is the syndrome that is characterized by several bulges in the blood vessels. Secondary polycythemia, on the other hand, is a condition that increases the number of red blood cells. This can cause blood clots in the veins and eventually, episodes of heart attacks.
There are also instances pointing to the role of growth hormones and oestrogens causing hypertrophic osteoarthropathy. Laxative abuse may also cause it as well as ulcerative colitis. Different variants of this disease is also known to develop, just like in the case of a German family whose hyperthropic osteoarthropathy is restricted on the lower extremities with no evidence of digital clubbing.
Symptoms of Hypertrophic Osteoarthropathy
More often than not, this disease is asymptomatic, meaning it does not show any symptoms at all. But other patients may feel deep pains in their bones, usually in the area near the legs. There are also thickening in the wrists and the ankles. The patient’s fists can also be swollen and digital clubbing is apparent. Digital clubbing is a type of a fingernail deformity. Aside from all these, several other dermatological symptoms may develop.
Diagnosing Hypertrophic Osteoarthropathy
There are different ways to diagnose hypertrophic osteoarthropathy. Radiography is conducted. Radiography is more commonly known as x-rays. This could be the oldest and the simplest yet an effective method of diagnosing disease associated with internal abnormalities.
A CT scan and an MRI test may also be performed. Both of these tests would produce a digital image of the extremities affected by the disease. These two tests are more preferred by doctors because they are able to produce good images necessary for a more accurate diagnosis.
Treatment of Hypertrophic Osteoarthropathy
In terms of medication therapy, non-steroidal anti-inflammatory drugs or NSAIDS are given to reduce the discomforts arising from hyperthropic osteoarthropathy. The most common example of this drug is the aspirin. Along with it, calcium channel blockers and analgesics are also given. Some drugs referred to as steroid derivaties prove to be useful as well.
It is always a given that if a disease is associated with any type of symptom, the said symptoms have to be addressed first. This is especially required if hypertrophic osteoarthropathy is caused or is complicated by cardiac anomalies or even cancer. For these cases, special antibiotics should be prescribed.
The more severe cases of this disease may require several radiotherapy sessions to correct the tumors that develop. Chemotherapy is also performed so to address the disease and everything else associated with it. There are also cases wherein a liver transplant does a patient good for lung abscess, pneumonia, bronchiectasis, and bacterial endocarditis that are brought about by the disease.
