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Advanced Practice Nursing Issues

Hypertrophic Osteoarthropathy as a Clinical Manifestation of Lung Cancer

Melissa C. Davis
Victoria Sherry
CJON 2011, 15(5), 561-563 DOI: 10.1188/11.CJON.561-563

Hypertrophic osteoarthropathy is a paraneoplastic syndrome most often found in non-small cell lung cancer. Diagnosis is confirmed by the presence of clubbing on physical examination and periostitis on bone scintigram, and the syndrome generally resolves with treatment of the underlying malignancy. This article presents a case study and describes symptom management options, including nonsteroidal anti-inflammatory agents, octreotide, and bisphosphonates.

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