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Image Number 1642 (Pachydermoperiostosis)

 
Morphology:
Hypertrophy

Diagnosis: Pachydermoperiostosis

Site: Face

Sex: M

Age: 34

Type:

Description: Skin thickening.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: An adult man presented with thickening of the skin in folds, accentuation of creases on the face especially on the forehead (deepened horizontal lines) and clubbing of the fingers. The eyelids were markedly thickened and the hands were spade shaped. These changes were noticed since early childhood and the patient had no underlying cyanotic lung or heart disease. This case is an example of hereditary pachydermoperiostosis.

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