Case Report

Atherothrombotic brain infarction in a patient with pachydermoperiostosis

Authors

Makoto Nakajima^1,2, Teruyuki Hirano², Kiyotaka Itoh¹ and Makoto Uchino²

1. Department of Medicine, Kumamoto Rosai Hospital, 1670 Takehara-machi, Yatsushiro, Kumamoto 866-8533, Japan
2. Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan

Received:

27 September 2007

Accepted:

30 November 2007

Published online:

20 February 2008

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Abstract

A 58-year-old man was admitted due to mild right-sided hemiparesis and a speech disturbance. We diagnosed an atherosclerotic brain infarction of the left cerebral hemisphere. The patient had severe clubbing of his fingers and toes bilaterally. Based on the history, clinical features, and X-ray examinations, he was diagnosed as having pachydermoperiostosis. Although general complications have been reported in previous literature, this is the first report of a patient with pachydermoperiostosis who had a cerebrovascular event.

Key words

Hypertrophic osteoarthropathy - Ischemic stroke