Age in a furrow: Forehead rhytidectomy in a 27-year-old male with pachydermoperiostosis

Pachydermoperiostosis or primary hypertrophic osteoarthropathy is a rare, genetic syndrome with familial and idiopathic forms characterized by progressive joint effusion associated with pachydermia, periostosal proliferation of the long bones, and finger clubbing. This condition presents with distinctive thickening and furrowing of the skin of the scalp, forehead, and cheeks, enlargement of the distal parts of the extremities, excessive sweating, and severe seborrhea of the scalp and face. This is a case of a 27-year-old man with a 10-year history of acne, seborrhea, joint pains, enlargement of the wrists, fingers, knees, and ankles, and palmoplantar hyperhidrosis.
Source: Journal of the American Academy of Dermatology - Category: Dermatology Source Type: research