Thyroid acropachy: A rare skeletal manifestation of autoimmune thyroid disease

Jami Jadidi, MD; Maziar Sighary, MD; Aslan Efendizade, DO; Arkadij Grigorian, MD; Scott A. Lehto, MD; Srinivas Kolla, MD

Radiology Case Reports (Aug 2019)

Thyroid acropachy: A rare skeletal manifestation of autoimmune thyroid disease

Jami Jadidi, MD,
Maziar Sighary, MD,
Aslan Efendizade, DO,
Arkadij Grigorian, MD,
Scott A. Lehto, MD,
Srinivas Kolla, MD

Affiliations

Jami Jadidi, MD: Corresponding author.; Department of Radiology, SUNY Downstate Medical Center, State University of New York Downstate Medical Center, MSC 1198, 450 Clarkson Ave, Brooklyn, NY 11203, USA
Maziar Sighary, MD: Department of Radiology, SUNY Downstate Medical Center, State University of New York Downstate Medical Center, MSC 1198, 450 Clarkson Ave, Brooklyn, NY 11203, USA
Aslan Efendizade, DO: Department of Radiology, SUNY Downstate Medical Center, State University of New York Downstate Medical Center, MSC 1198, 450 Clarkson Ave, Brooklyn, NY 11203, USA
Arkadij Grigorian, MD: Department of Radiology, SUNY Downstate Medical Center, State University of New York Downstate Medical Center, MSC 1198, 450 Clarkson Ave, Brooklyn, NY 11203, USA
Scott A. Lehto, MD: Department of Radiology, SUNY Downstate Medical Center, State University of New York Downstate Medical Center, MSC 1198, 450 Clarkson Ave, Brooklyn, NY 11203, USA
Srinivas Kolla, MD: Department of Radiology, SUNY Downstate Medical Center, State University of New York Downstate Medical Center, MSC 1198, 450 Clarkson Ave, Brooklyn, NY 11203, USA

Journal volume & issue: Vol. 14, no. 8
pp. 917 – 919

Abstract

Read online

Thyroid acropachy is a rare complication of autoimmune thyroid disease with characteristic imaging findings. Clinically, it presents as nail clubbing, swelling of digits and toes, almost always in association with thyroid ophthalmopathy and dermopathy. On radiographs, it manifests as prominent irregular and spiculated periosteal new bone formation in the hands and feet. We present a 52-year-old man with history of Graves’ disease who presented with swelling of the hands and feet. Radiographs of the hands and feet revealed marked diffuse soft tissue edema and characteristic periosteal new bone formation most consistent with thyroid acropachy. Keywords: Thyroid acropachy, Metabolic bone disease

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

About the journal