F. ANTHONY GRECO, M.D.; IRVING KUSHNER, M.D., F.A.C.P.
To the editor: Reversal of the symptoms of pulmonary hypertrophic osteoarthropathy, a syndrome of obscure pathogenesis, has been documented after intrathoracic tumor removal or irradiation; vagotomy; sectioning of intercostal nerves; hilar dissection, with or without division of nerves; pulmonary artery division; hypophysectomy; and thoracotomy alone (1, 2). We recently attended a patient with carcinoma of the lung and pulmonary hypertrophic osteoarthropathy, whose distressing extremity pain and swelling disappeared immediately after laparotomy.
A 58-year-old white man, with a history of 60 pack-years of cigarette smoking, was admitted to a local hospital in May 1973 with a 6-month history of increasingly painful
GRECO FA, KUSHNER I. Loss of Symptoms of Pulmonary Hypertrophic Osteoarthropathy after Laparotomy. Ann Intern Med. ;81:555–556. doi: 10.7326/0003-4819-81-4-555
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Published: Ann Intern Med. 1974;81(4):555-556.
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