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Inicio Revista Colombiana de Reumatología (English Edition) Acropachy: From sign to disease
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Vol. 28. Issue 3.
Pages 227-229 (July - September 2021)
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Vol. 28. Issue 3.
Pages 227-229 (July - September 2021)
Case report
DOI: 10.1016/j.rcreue.2020.05.011
Acropachy: From sign to disease
Acropaquias: del signo a la enfermedad
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Marina Corral-Forteza
Corresponding author
marinacf1990@gmail.com

Corresponding author.
, Maribel Iglesias-Sancho, Javier García-Miguel, Montserrat Salleras-Redonnet
Dermatology Service, Hospital Universitari Sagrat Cor, Barcelona, Spain
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Table 1. Etiology of acropachy.
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Abstract

Acropachy, also called clubbed fingers, presents as increased nail convexity over a thickened distal phalanx. Its origin is multifactorial, with the most frequent cause being neoplasms, although it can also be idiopathic. They can be found in isolation, or as part of hypertrophic osteoarthropathy. The importance of its diagnosis lies in the high frequency of underlying malignant pathology, so it must be rapid and comprehensive. Two cases are presented of patients with acropachy associated with underlying neoplasia.

Keywords:
Acropachy
Digital hippocratism
Neoplasia
Hypertrophic osteoarthropathy
Resumen

Las acropaquias, también llamadas dedos en palillo de tambor, se presentan como un aumento de la convexidad ungueal sobre una falange distal engrosada. Su origen es multifactorial, siendo la causa más frecuente las neoplasias, aunque también puede ser idiopático. Pueden encontrarse de forma aislada o formando parte de la osteoartropatía hipertrófica. La importancia de su diagnóstico radica en la alta frecuencia de enfermedad maligna subyacente, por lo que debe ser rápido y exhaustivo. Presentamos 2 casos de pacientes con acropaquias asociados a neoplasia subyacente.

Palabras clave:
Acropaquias
Hipocratismo digital
Neoplasias
Osteoartropatía hipertrófica

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