Idiopathic Hypertrophic Osteoarthropathy

Abstract

CLUBBING of the fingers was first documented by Hippocrates in the Fifth Century B.C., but it was not until 1890 that Pierre Marie¹ and Bamberger² almost simultaneously observed that an underlying pulmonary condition may be responsible for some cases of gross clubbing and painful arthropathy. Since their recognition that osteoarthropathy can be the overt manifestation of systemic disease, these observations have been amply confirmed by many others, and an impressive number of other entities³ with which clubbing may be associated have been identified, foremost among them being bronchogenic carcinoma. In 1935 Touraine, Solente and Golé⁴ demonstrated that a few patients . . .