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Musculoskeletal

Home›MICA Image›Clinical semiology›Musculoskeletal

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← Clinical semiology

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4 sheets

Figure 1: clinical appearance in the published congenital lipodystrophy and confirmed acromegaly case. This association is unusual.

Endocrinology & metabolism

Generalised lipodystrophy and acromegaloid appearance

Abnormal fat distribution with prominent musculature.

Observation: Prominent musculature accompanies unusual fat distribution.
Limitation: A photograph cannot quantify fat mass.

Figure 1 from Charlton et al.: enlarged fingertips and curved nails. Original context retained.

Respiratory

Digital clubbing

Enlarged distal digits with increased nail curvature.

Observation: The photograph shows enlarged fingertips and curved nails.
Limitation: The photograph cannot establish pulmonary disease.

Ulnar deviation of the fingers

Musculoskeletal

Ulnar deviation of the fingers

Finger deviation towards the ulnar border, assessed with joint, tendon and functional findings.

Direction: Towards the little-finger border
Joint: Metacarpophalangeal
Association: Other finger deformities
Examination: Motion, tendons, grip

Original panel showing hands, forefoot and a finger close-up, with asymmetric swellings and yellow-white areas.

Musculoskeletal

Tophi: periarticular deposits

Recognise nodules and swellings in documented tophaceous gout.

Lesion: Clinically suspected tophus
Site: Fingers and great toe
Confirmation: Crystals when diagnosis is uncertain
Pitfall: Coexisting infection is possible