Digital acrometastase as a primary manifestation of a bronchial adenocarcinoma

Authors

  • Mounir Rhounimi Department of Traumatology Orthopedics, Ibn Sina Hospital, Mohammed V University Souissi, Rabat
  • Amine Azirar Department of Traumatology Orthopedics, Ibn Sina Hospital, Mohammed V University Souissi, Rabat
  • Mohamed Kharmaz Department of Traumatology Orthopedics, Ibn Sina Hospital, Mohammed V University Souissi, Rabat
  • My Omar Lamrani Department of Traumatology Orthopedics, Ibn Sina Hospital, Mohammed V University Souissi, Rabat
  • Mohamed Ouadghiri Department of Traumatology Orthopedics, Ibn Sina Hospital, Mohammed V University Souissi, Rabat
  • Ahmed E. L. Bardouni Department of Traumatology Orthopedics, Ibn Sina Hospital, Mohammed V University Souissi, Rabat
  • Moustapha Mahfoud Department of Traumatology Orthopedics, Ibn Sina Hospital, Mohammed V University Souissi, Rabat
  • Mohamed Saleh Berrada Department of Traumatology Orthopedics, Ibn Sina Hospital, Mohammed V University Souissi, Rabat
  • Ilyas El Kassimi Department of Internal Medicine, Mohammed V Military Teaching Hospital, Mohammed V University Souissi, Rabat

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20182746

Keywords:

Acrometastasis, Hand, Adenocarcinoma, Lung

Abstract

Bone metastases of the hands and feet (acrometastases) are rare. Their presentation is variable and is generally confused with certain inflammatory conditions such as rheumatoid arthritis, gout, tenosynovitis, fracture or infection (panartius, osteomyelitis). The etiology of non-digital acrometastases is common to primary tumors with bone metastases (prostate, lung, kidney, breast, thyroid, and digestive tube). However, digital acrometastases are seen almost exclusively during bronchial neoplasia. We describe the case of a 43 year-old man admitted for pain and swelling of the middle finger distal phalanx of the left hand. Etiological assessement was in favor of an unusual secondary localization of bronchial adenocarcinoma. Tumoral causes must always be evoked before any inflammatory digital symptomatology, from where the interest of a good interrogation and a targeted paraclinical assessment. 

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Published

2018-06-23

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Section

Case Reports