Sir, Pierre-Marie-Bamberger syndrome , or secondary hypertrophic osteoarthropathy (HOA), is characterized by clubbing of digits, periosteal new bone formation and synovial effusion. Secondary HOA accompanies a variety of disorders, thoracic affections in particular, and may precede clinical features of the disease. Forms of HOA localized to one or two limbs occur as the result of an endothelial injury, such as an infection of arterial aneurysms or vascular grafts . We report the case of a 44-yr-old woman with Behcet disease (BD) with predominantly unilateral lower limb HOA revealing an aortic graft infection.
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