DOI: 10.36347/sjmcr.2018.v06i01.012

Pages: 39-42

Hypertrophic pulmonary osteoarthropathy (HPOA) or Pierre Marie-Bamberger-syndrome is a paraneoplastic syndrome often associated with bronchial carcinoma. A 60-year-old previously healthy man, with swelling and pain in multiple joints, underwent a chest x-ray and bone scintigraphy. The x-ray raised suspicion of a lung tumor and the bone scan showed increased activity in the periostea of the tubular bones in the upper and lower extremities suggesting HPOA. A 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) scan disclosed a FDG-avid right lung mass, a mediastinal lymph node but no FDG uptake in the periostea of the tubular bones. The patient was timely treated for his bronchial carcinoma ensuring a curative outcome.