Hypertrophic pulmonary osteoarthropathy with tripe palms (Image, NEJM)

Hayder Saeed and Suleiman Massarweh of the University of Kentucky share with us the story and images of a woman presenting with weight loss and cough, and discovered to have hypertrophic pulmonary osteoarthropathy, velvety palmar skin, clubbing ... and an 11 cm adenocarcinoma in the right lung.

Saeed H, Massarweh S. Hypertrophic Pulmonary Osteoarthropathy and Tripe Palms. N Engl J Med 2012;366:360. FREE FULL TEXT