A CASE OF SMALL-CELL CARCINOMA OF THE LUNG ASSOCIATED WITH HYPERTROPHIC PULMONARY OSTEOARTHROPATHY

A 73-year-old man had complained of painful swelling in the upper and lower extremities for several months before detection of small cell lu ng carcinoma, A bone scan showed abnormal symmetrical accumulations in the extremities, but periosteal proliferation was not demonstrated by X-ray, When a complete remission was obtained by chemoradiotherapy, t he joint manifestation also subsided completely. In almost all reporte d cases, hypertrophic pulmonary osteoarthropathy was observed in patie nts with non-small cell lung carcinoma. To our knowledge, this is the first case report of hypertrophic pulmonary osteoarthropathy associate d with small cell lung carcinoma published in the English literature.