Primary hypertrophic osteoarthropathy (hpoa)

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Note: 1. Coarse wrinkles over forehead 2. Tylosis 3. Seborrhoea 4. Folliculitis 5. Prominent Naso Labial folds

Note: Sparse hair growth over the Chest and Axilla.

Note: Clubbing in the feet with Symmetric enlargement of both ankles and knees.

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EGD: Hypertrophic gastric mucosal folds.

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