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Ruth Mangupli, Adrian F Daly, Elvia Cuauro, Paul Camperos, Jaime Krivoy, and Albert Beckers

, due to extensive swelling and effusions bilaterally. Figure 1 Facial changes in primary hypertrophic osteoarthropathy demonstrating thickened oily skin and excessive folding of the skin of the forehead (cutis verticis gyrata). Figure

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Noor Rafhati Adyani Abdullah, Wong Lok Chin Jason, and Azraai Bahari Nasruddin

Background Pachydermoperiostosis (PDP), otherwise known as primary hypertrophic osteoarthropathy, is a rare hereditary disorder. In complete form, it is characterized by pachyderma (thickened facial skin), skeletal changes (periostosis