INTROODUCTION
Hypertrophic osteoarthropathy (HPO) is a rare syndrome that can be
idiopathic or secondary to an infection, an inflammation or a
malingering cause mainly affecting intrathoracic organs.
Clinically its more prominent symptom is finger clubbing, other symptoms
can be seen such as tenderness in the palpation of tubular bones or
periosteal proliferation (1).
As a psychiatrist, it would be important to recognize this clinical
entity, because on one hand patients with schizophrenia can have
difficulties expressing their physical grievances (2) and on the other
hand as rare as this condition is it can hide a serious underlying
disease. This would be illustrated in this case report.