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Other names: Thyroid acropachy
This condition is inherited in an autosomal recessive manner

Acropachy refers to a dermopathy associated with Graves' disease.[1] It is characterized by soft-tissue swelling of the hands and clubbing of the fingers. Radiographic imaging of affected extremities typically demonstrates periostitis, most commonly the metacarpal bones. The exact cause is unknown, but it is thought to be caused by stimulating auto-antibodies that are implicated in the pathophysiology of Graves' thyrotoxicosis. There is no effective treatment for acropachy.

Since it is closely associated with Graves' disease, it is associated with other manifestations of Graves' disease, such as Graves' ophthalmopathy[2] and thyroid dermopathy.[3]

Hereditary acropachy (also known as "isolated congenital nail clubbing") may be associated with HPGD.[4]

See also


  1. Graf, Gratton (2013). Imboden; Hellmann; Stone (eds.). Chapter 55. Endocrine & Metabolic Disorders. In: CURRENT Rheumatology Diagnosis & Treatment, 3e. New York, NY: McGraw-Hill.
  2. Fatourechi V, Bartley GB, Eghbali-Fatourechi GZ, Powell CC, Ahmed DD, Garrity JA (December 2003). "Graves' dermopathy and acropachy are markers of severe Graves' ophthalmopathy". Thyroid. 13 (12): 1141–4. doi:10.1089/10507250360731541. PMID 14751035.
  3. Fatourechi V, Ahmed DD, Schwartz KM (December 2002). "Thyroid acropachy: report of 40 patients treated at a single institution in a 26-year period". J. Clin. Endocrinol. Metab. 87 (12): 5435–41. doi:10.1210/jc.2002-020746. PMID 12466333. Archived from the original on 2021-08-27. Retrieved 2020-12-26.
  4. Tariq M, Azeem Z, Ali G, Chishti MS, Ahmad W (January 2009). "Mutation in the HPGD gene encoding NAD+ dependent 15-hydroxyprostaglandin dehydrogenase underlies isolated congenital nail clubbing (ICNC)". J. Med. Genet. 46 (1): 14–20. doi:10.1136/jmg.2008.061234. PMID 18805827.

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