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CASE REPORT
Year : 2012  |  Volume : 1  |  Issue : 3  |  Page : 161-163

Hypertrophic pulmonary osteoarthropathy: In coexistent lung cancer with pulmonary tuberculosis


Department of Pulmonary Medicine, NRS Medical College and Hospital, 138 AJC Bose Road, Shealdah, Kolkata, West Bengal, India

Correspondence Address:
Kaushik Saha
Rabindra Pally, 1st Lane, Nimta, Kolkata - 700 049
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-0513.102894

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Association of lung cancer with pulmonary tuberculosis is approximately 1-2% and pulmonary tuberculosis is associated with lung cancer in approximately 1-5% of cases. A 46-year-old male presented to us with low-grade fever for 3 months, increased severity of cough for 2 months, and painful swelling of fingers with both wrist joints for 1 month. Chest X-ray PA view revealed a homogenous opacity in the right upper and mid zone. Contrast-enhanced CT scan of the thorax showed soft tissue density, enhancing lesion (11.5 × 8.6 cm) with areas of necrosis in the right upper lobe. The patient suffered from squamous cell lung cancer as well as active pulmonary tuberculosis. As a complication of these two coexisting conditions, the patient developed hypertrophic pulmonary osteoarthropathy.


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