SEVERE KNEE DEFORMITY IN A CYANOTIC PATIENT: A CASE REPORT

Authors

1 Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran

2 1-Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran

3 Javaheri Hospital, Azad University of Medical Sciences, Tehran, Iran

4 Associate Professor in Cardiac Surgery, Rajaie Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Hypertrophic osteoarthropathy is one of the rheumatologic complications in cyanotic heart disease. The severity of involvement depends on the degree and duration of a right-to-left shunt. The mechanism is related to the bypass of mediators from the lung and entrapment in the limbs. These mediators induce local cell proliferation in the bone and soft tissue. Herein, we report a cyanotic patient with severe involvement and deformity in his knee.

Keywords

Iranian Heart Journal
Volume 13, Issue 1
March 2012
Pages 46-49

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