Numerous causes of hypertrophic osteoarthropathy (HOA) have been reported. Com-monly, secondary osteoarthropathy accompanies pulmonary diseases such as carcino-ma of the lung, pleural tumors, lung abscesses, and bronchiectasis. However, HOA in in-flammatory bowel disease is a rare complication. There are only a few reports of second-ary HOA with Crohn’s disease. Our purpose was to report another case of HOA in Crohn"sdisease. We describe a case of a 27-year-old man with underlying Crohn’s disease pre-senting with 2 years of pain in multiple joints. Radiographic findings suggested HOA inextremities. We performed a conservative treatment including medication and rehabili-tations. The patient’s symptoms were much improved at the latest follow-up. Althoughnumerous studies on HOA have been published, the pathogenesis of HOA is still unclear. Various treatment modalities were recommended but further studies to uncover thepathogenesis of HOA with Crohn’s disease and to establish a treatment modality areneeded.
Numerous causes of hypertrophic osteoarthropathy (HOA) have been reported. Com-monly, secondary osteoarthropathy accompanies pulmonary diseases such as carcino-ma of the lung, pleural tumors, lung abscesses, and bronchiectasis. However, HOA in in-flammatory bowel disease is a rare complication. There are only a few reports of second-ary HOA with Crohn’s disease. Our purpose was to report another case of HOA in Crohn"sdisease. We describe a case of a 27-year-old man with underlying Crohn’s disease pre-senting with 2 years of pain in multiple joints. Radiographic findings suggested HOA inextremities. We performed a conservative treatment including medication and rehabili-tations. The patient’s symptoms were much improved at the latest follow-up. Althoughnumerous studies on HOA have been published, the pathogenesis of HOA is still unclear. Various treatment modalities were recommended but further studies to uncover thepathogenesis of HOA with Crohn’s disease and to establish a treatment modality areneeded.
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