Pamela Jo Harris, MD
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To the editor: Hypertrophic pulmonary osteoarthropathy, a syndrome characterized by painful periostitis of
the long bones, is often accompanied by arthritis and has pathognomonic features (1). The syndrome has been associated with various malignancies and also with nonmalignant pulmonary and nonpulmonary conditions (2). I report the first case of hypertrophic pulmonary osteoarthropathy associated with human immunodeficiency virus (HIV) infection (3, 4).
A 33-year-old HIV-antibody positive white homosexual man had a mild arthralgia involving wrists, elbows, shoulders, knees, and ankles bilaterally. He also had severe pain in the distal tibia bilaterally and mild pain in the radii bilaterally.
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Harris PJ. Hypertropic Pulmonary Osteoarthropathy and Human Immunodeficiency Virus (HIV). Ann Intern Med. ;109:250. doi: 10.7326/0003-4819-109-3-250_1
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Published: Ann Intern Med. 1988;109(3):250.
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