Pierre Marie-Bamberger Syndrome: A unique case report

Hypertrophic osteoarthropathy (HOA) was described by Friedreich in 1868. It is a rare condition with variable presentations including clubbing of the toes and fingers, arthralgia with edema, bilateral ptosis, thickening of the skin and leonine facies. Bone and periarticular tissue proliferation leads to expansive extremities. It is a distant effect disorder in various neoplasms (paraneoplastic syndrome); often associated with lung neoplasm. We report a case of a 36 year old Pakistani male smoker, presenting with bilateral joint pains, shortness of breath and grade 4 digital clubbing on general examination.