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Pachydermoperiostosis

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for this disease. Additionally, HPGD mutation analyses are relatively cheap and simple and may prove to be useful in early investigation in patients with unexplained clubbing or children presenting PDP-like features. Early positive results can prevent expensive and longtime tests at identifying the
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The effective treatment for PDP is currently unknown due to the lack of controlled data and is largely based on case reports. Although the HPGD enzyme is likely to be involved into the pathogenesis of PDP, no strategies against this mutation have been reported yet, since it is hard to tackle a
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Hou Y, Lin Y, Qi X, Yuan L, Liao R, Pang Q, Cui L, Jiang Y, Wang O, Li M, Dong J, Xia W (2018). "Identification of mutations in the prostaglandin transporter gene SLCO2A1 and phenotypic comparison between two subtypes of primary hypertrophic osteoarthropathy (PHO): A single-center study".
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The age of onset is often in puberty. Of the described cases, as high as 80% of the affected individuals was suffering from the disease prior to the age of 18. However, Latos-Bielenska et al. stated that this percentage should be lower, because also another form of osteoarthropathy –
618:. In order to exclude these other diseases, hormonal studies are done. For example, thyrotropin and growth hormone levels should be examined to exclude thyroid acropachy and acromegaly. However, skin biopsy helps to diagnose PDP in patients without skin manifestations. 1028:. This method is a type of cosmetic surgery procedure used to give a more youthful appearance. It involves the removal of excess facial skin and tightening of the skin on the face and neck. A second option is plastic surgery. This is also used for 3041: 3022: 2813:
Khan AK, Muhammad N, Khan SA, Ullah W, Nasir A, Afzal S, Ramzan K, Basit S, Khan S (2017) A novel mutation in the HPGD gene causing primary hypertrophic osteoarthropathy with digital clubbing in a Pakistani family. Ann Hum Genet doi:
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6 patient organizations facilitate support for PDP patients. 4 of them are situated in Europe (Finland, France, Greece, and Poland). The other two are located in Australia and Morocco (the Association Marocaine des GĂ©nodermatoses).
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is confirmed in about half of the families, associated with the incomplete form. Of several families, an autosomal recessive model of inheritance is known, associated with the complete form with much more severe symptoms involving
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Torgutalp M, Durmaz CD, Karabulut HG, Seifert W, Horn D, Akkaya Z, Turgay M (2019) Primary hypertrophic osteoarthropathy mimicking juvenile idiopathic arthritis: A novel SLCO2A1 mutation and imaging findings. Cytogenet Genome
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For the follow-up of PDP disease activity, bone formation markers such as TAP, BAP, BGP, carbodyterminal propeptide of type I procallagen or NTX can play an important role. Other biomarkers that can be considered are
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Lemen RJ, Gates AJ, Mathé AA, Waring WW, Hyman AL, Kadowitz PD (1978). "Relationships among digital clubbing, disease severity, and serum prostaglandins F2alpha and E concentrations in cystic fibrosis patients".
567: 428:. These patients showed typical PDP symptoms such as digital clubbing and periostosis. The HPGD gene is mapped on chromosome 4q34 and encodes the enzyme HPGD (15-hydroxyprostaglandin dehydrogenase). This 4529: 739:
occurs in 54% of the cases and is characterized by having mainly effect on the bones and thereby the skeletal changes. Its effect on the skin (causing for instance pachydermia) is very limited.
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PDP occurs more frequently in men than in women (ratio around 7:1). Moreover, men suffer from more severe symptoms (see table 1). African American people are affected to a higher extent.
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This disease affects more men than women. After onset, the disease stabilizes after about 5–20 years. Life of PDP patients can be severely impaired. Currently, symptomatic treatments are
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MartĂ­nez-Ferrer A, et al. (2009). "Prostaglandin E2 and bone turnover markers in the evaluation of primary hypertrophic osteoarthropathy (pachydermoperiostosis): a case report".
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found in high levels in PDP and it is involved in the production of other inflammatory mediators which increase the expression of RANKL. RANKL is thought to increase bone resorption.
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and pain includes NSAIDs and corticosteroids. Other drugs used by PDP patients target bone formation or skin manifestations. Surgical care is used to improve cosmetic appearance.
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Gómez Rodríguez N, Ibåñez Ruån J, Gonzålez Pérez M (2009). "Primary hypertrophic osteoarthropathy (pachydermoperiostosis). Report of 2 familial cases and literature review".
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YĂŒksel-Konuk B, et al. (2009). "Homozygous mutations in the 15-hydroxyprostaglandin dehydrogenase gene in patients with primary hypertrophic osteoarthropathy".
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occurs in 40% of the cases and can involve all the symptoms but mainly pachydermia, periostosis and finger clubbing. This is also referred to as the full-blown
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associated with PDP. In addition, NSAIDs and corticosteroids decrease formation of inflammatory mediators, reducing inflammation and pain. In case of possible
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of long bones. In order diagnose PDP, often other diseases must be excluded. For example, to exclude secondary hypertrophic osteoarthropathy, any signs of
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Aside from drug treatments, there are many surgical methods to improve the facial appearance. One of them is facelift, technically known as facial
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activation. This suggests that the activation of endothelial cells and platelets play an important role in the pathogenesis of PDP. VEGF promotes
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The easiest way to diagnose PDP is when pachydermia, finger clubbing and periostosis of the long bones are present. New bone formation under the
443:. So far, eight different mutations are known leading to a dysfunctional HPGD enzyme in PDP patients. Due to these mutations, the binding of the 4153: 1823:
Sinibaldi L, et al. (2010). "A novel homozygous splice site mutation in the HPGD gene causes mild primary hypertrophic osteoarthropathy".
1773:"Primary hypertrophic osteoarthropathy with digital clubbing and palmoplantar hyperhidrosis caused by 15-PGHD⁄HPGD loss-of-function mutations" 3694: 3134: 2043:
Fonseca C, et al. (1992). "Circulating plasma levels of platelet-derived growth factor in patients with hypertrophic osteoarthropathy".
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of fingers is present. This is useful to diagnose PDP, because the combination of clubbing and acroosteolysis is only found in PDP and
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Okten A, et al. (2007). "Two cases with pachydermoperiostosis and discussion of tamoxifen citrate treatment for arthralgia".
4659: 858:. Bisphosphonates inhibit osteoclastic bone resorption and therefore reduce bone remodeling and alleviate painful polyarthritis. 1163:
In 25-38% of the cases, patients have a familial history of PDP. It is suggested that the incomplete form and complete form are
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Gold JM, et al. (2008). "Improving tolerance of AIs: predicting risk and uncovering mechanisms musculoskeletal toxicity".
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Uppal S, et al. (2008). "Mutations in 15-hydroxyprostaglandin dehydrogenase cause primary hypertrophic osteoarthropathy".
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new bone formation of long bones) and digital clubbing (enlargement of fingertips). Other features include excessive sweating,
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PDP has a number of visible signs. Most important clinical features are: pachydermia (thickening and wrinkling of the skin),
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Adams B, Amin T, Leone V, Wood M, Kraft JK (2017). "Primary hypertrophic osteoarthropathy: ultrasound and MRI findings".
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occurs in only 6% of the cases and is the opposite of the incomplete form. Minor skeletal changes are found, and mostly
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Mattuci-Cerinic; et al. (1998). "Colchicine treatment in a case of pachydermoperiostosis with acroosteolysis".
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is likely to be involved in periosteal bone formation and acroosteolysis, this is why these drugs can alleviate the
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and proliferation. In contrast to HPGD mutations, suspected mutations for these factors have not been reported yet.
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Latos-Bielensk A, et al. (2007). "Pachydermoperiostosis–critical analysis with report of five unusual cases".
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Table 1. Distribution of different forms of PDP among 201 reported affected men and women (167 men and 34 women).
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Zhang Z, Xia W, He J, Zhang Z, Ke Y, Yue H, Wang C, Zhang H, Gu J, Hu W, Fu W, Hu Y, Li M, Liu Y (January 2012).
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is another way to diagnose PDP. However, it is not a very specific method, because other diseases share the same
558:(3q22.1-q22.2). This syndrome occurs if both copies of either gene are mutated (autosomal recessive inheritance) 2062:
Bianchi L, et al. (1995). "Pachydermoperiostosis, study of epidermal growth factor and steroid receptors".
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Athappan G, et al. (2009). "Touraine Solente Gole syndrome: the disease and associated tongue fissuring".
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may also be raised in patients with lung cancer and finger clubbing. This may be related to raised levels of
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Ghosn S, et al. (2010). "Treatment of pachydermoperiostosis pachydermia with botulinum toxin type A.".
1016:. However, the exact mechanism for improving leonine faces is unknown and needs to be further investigated. 714: 531: 4869: 4862: 4750: 4677: 4322: 4016: 3933: 3851: 3841: 3628: 3623: 3377: 997: 131: 2392:"Cyclooxygenase-2 expression in non-small Cell lung cancer correlates With hypertrophic osteoarthropathy" 2302:"Common and recurrent HPGD mutations in Caucasian individuals with primary hypertrophic osteoarthropathy" 1926:
Silveria LH, et al. (2000). "Vascular endothelial growth factor and hypertrophic osteoarthropathy".
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Leni George; et al. (2008). "Frontal rhytidectomy as surgical treatment for pachydermoperiostosis".
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Jajic I, Jajic Z (1992). "Prevalence of primary hypertrophic osteoarthropathy in selected population".
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Mattuci-Cerinic; et al. (1992). "Von Willebrand factor antigen in hypertrophic osteoarthropathy".
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PDP is a rare genetic disease. At least 204 cases of PDP have been reported. The precise incidence and
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competitively bind to estrogen receptors on tissue targets, producing a nuclear complex that decreases
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in some patients. However, further investigation is needed to confirm this use of disease monitoring.
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formation in PDP patients. Other mediators found in increased concentrations in PDP patients, include
4738: 4375: 4316: 4078: 3583: 3565: 3560: 3520: 3193: 2453:"Arthroscopic Synovectomy in a Patient with Primary Hypertrophic Osteoarthropathy Korean Rheum Assoc" 1219: 701:. It represents approximately 5% of the total hypertrophic osteoarthropathy cases. The other form is 417:
has vasodilatory effects, which is consistent with prolonged local vasodilation in digital clubbing.
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was effective in PDP treatment, especially for bone and joint pain. In PDP patients, high levels of
685:-2, an enzyme involved in the metabolism of prostaglandins. A similar association has been noted in 51: 4790: 4743: 4672: 4630: 4357: 4346: 4259: 4213: 4188: 4106: 3889: 3638: 3555: 3534: 3442: 3437: 3337: 3045: 2826:"Exome sequencing identifies SLCO2A1 mutations as a cause of primary hypertrophic osteoarthropathy" 970: 824: 1853:
Silver F, et al. (1996). "Hypertrophic osteoarthropathy: endothelium and platelet function".
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Two genes have been associated with this condition: hydroxyprostaglandin dehydrogenase 15-(NAD) (
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Two genes have been associated with this condition: hydroxyprostaglandin dehydrogenase 15-(NAD) (
4785: 810: 1612:"Pachydermoperiostosis or primary hypertrophic osteoarthropathy: A rare clinicoradiologic case" 425: 127: 4638: 4412: 4380: 4332: 4218: 4208: 4056: 3948: 3901: 3831: 3613: 3598: 3575: 3550: 3545: 3402: 3085: 2891: 2855: 2769: 2734: 2699: 2650: 2603: 2546: 2511: 2413: 2372: 2323: 2274: 2228: 2185: 2137: 2079: 2025: 1987: 1935: 1908: 1870: 1832: 1794: 1745: 1693: 1643: 1549: 1507: 1393: 1324: 940: 870: 866: 523: 40: 4615: 4607: 4290: 4254: 3988: 3570: 3515: 3462: 3417: 3255: 3224: 2883: 2845: 2837: 2761: 2726: 2689: 2640: 2593: 2585: 2538: 2464: 2403: 2362: 2354: 2313: 2266: 2220: 2177: 2129: 2071: 2017: 1977: 1969: 1862: 1784: 1737: 1685: 1633: 1623: 1541: 1499: 1459: 1385: 1316: 936: 622: 368: 143: 69: 4588: 4484: 4051: 3958: 3836: 3774: 3750: 3510: 3447: 3407: 3362: 3175: 1958:"A Case of Hypertrophic Osteoarthropathy Associated with Epithelioid Hemangioendothelioma" 1183: 1049: 978: 881: 790: 786: 686: 671: 110:
In 1868, PDP was first described by Friedreich as 'excessive growth of bone of the entire
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Vicente da Costa F, et al. (2010). "Infliximab treatment in Pachydermoperiostosis".
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on bone and inhibits the resorbing activity of osteoclasts (disruption of bone tissue).
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could be a solution for this, although this has not been reported yet in literature.
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levels, studies in patients with hypertrophic osteoarthropathy also showed increased
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Terkeltaub RA (2009). "Colchicine update. Seminars in arthritis and rheumatism".
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of PDP are still unknown. A prevalence of 0.16% was suggested by Jajic et Jajic.
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cannot be transferred into PGE-M down and remain present at high concentrations.
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diseases must be absent. MRI and ultrasound also have characterictic findings.
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Yazici Y, Schur PH, Romain PL (2011). "Malignancy and rheumatic disorders".
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When clubbing is observed, it is helpful to check whether acroosteolysis of
585: 534:(EGF). It has not been described yet what role these mediators have in PDP. 432: 2895: 2859: 2738: 2654: 2607: 2550: 2515: 2417: 2376: 2327: 2278: 2232: 2189: 2141: 2029: 1991: 1939: 1836: 1798: 1749: 1697: 1647: 1553: 1511: 1397: 1328: 2773: 2703: 2083: 1912: 1874: 1056:
complications, including restricted motion, neurologic manifestations and
96:(swelling of tissue with loss of normal angle between nail and nail bed). 4456: 4365: 4280: 3926: 3821: 3816: 3525: 3491: 3287: 2989: 1164: 897: 832: 828: 611: 550:(4q34.1) and solute carrier organic anion transporter family member 2A1 ( 487: 111: 104: 3014: 961:
can also improve skin manifestations. It is able to bind to the ends of
3881: 2972:"Wortal Stowarzyszenia na Rzecz Dzieci z Zaburzeniami Genetycznymi GEN" 2765: 1866: 1215: 1000:(BTX-A) improved leonine facies of patients. BTX-A inhibits release of 901: 642: 589: 551: 869:
were found for steroids, which was the rationale to use tamoxifen, an
717:). Unlike SHO, PDP does not have an underlying disease or malignancy. 4507: 3026: 2589: 2529:
Molad Y (2002). "Update on colchichine and its mechanism of action".
1200: 429: 100: 92:(thickening of the skin), periostosis (excessive bone formation) and 2390:
Rotas I, Cito G, Letovanec I, Christodoulou M, Perentes JY (2016).
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Castori M, et al. (2005). "Pachydermoperiostosis: an update".
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PDP usually progresses for 5 to 20 years, until it becomes stable.
401:(respectively building and breaking down bone tissue). This is why 146:
abnormalities. An overview of all symptoms is provided in table 2.
1218:). The underlying pathophysiology appears to be an abnormality of 1210:) and solute carrier organic anion transporter family, member 2A1/ 1188: 568:
List of radiographic findings associated with cutaneous conditions
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activity of leukocytes, which leads to reduction of pachydermia.
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The cause of these differentiating pathologies is still unknown.
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to prevent its elongation. Because microtubules are involved in
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transmission to the sweat glands and therefore inhibits sweat
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of the sebaceous glands is inhibited. Retinoids also decrease
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are used to improve skin manifestations. Retinoids can act on
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may be normal, despite patients getting many functional and
2909: 2975: 831:(tumor necrosis factor-alpha). TNF-α is an inflammatory 479:(VEGF). These substances could also have a role in PDP 705:(SHO). SHO usually has an underlying disease (such as 3004: 789:
are most used in PDP treatment. These drugs inhibit
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and decreased levels of PGE-M (the metabolite of PGE
4921: 4884: 4847: 4768: 4719: 4691: 4658: 4629: 4606: 4597: 4576: 4545: 4483: 4455: 4356: 4345: 4146: 4087: 4034: 3999: 3880: 3736: 3725: 3657: 3485: 3476: 3165: 3100: 3008: 39: 29: 24: 900:studies showed that tamoxifen acts as an estrogen 4169:Disseminate and recurrent infundibulofolliculitis 1371: 1369: 1367: 1365: 1363: 1361: 1178:The autosomal dominant model of inheritance with 1045:(FIO) - was taken into account in this analysis. 424:in PDP patients are associated with mutations of 118:in 1935 and distinguished its three known forms. 16:Rare genetic disorder that affects bones and skin 2678:"Pachydermoperiostosis: trial with isotretinoin" 130:of the face and scalp, periostosis (swelling of 3273:Congenital onychodysplasia of the index fingers 2487:Rang HP, Dale MM, Ritter JM, Flower JM (2007). 2341:Kozak KR, Milne GL, Bentzen SM, Yock T (2012). 750:symptoms are observed with limited periostosis. 510:, which can explain the clubbing and excessive 451:to HPGD is disrupted. As a result of this, PGE 4824: 4523: 4179:Erythromelanosis follicularis faciei et colli 3142: 2626:"Gene expression regulation by retinoic acid" 670:(RANKL), which are associated with increased 8: 4732:Systemic-onset juvenile idiopathic arthritis 1818: 1816: 770:Conventional PDP drug treatment to decrease 2252: 2250: 1222:but the details have yet to be elucidated. 989:). It is suggested that colchicine inhibit 846:symptoms can be improved by treatment with 4831: 4817: 4809: 4603: 4530: 4516: 4508: 4353: 3733: 3482: 3149: 3135: 3127: 3005: 2003: 2001: 1894: 1892: 1848: 1846: 1302: 1300: 1298: 1296: 1294: 1292: 1290: 1288: 1286: 1284: 1282: 1280: 1278: 1276: 1274: 1272: 1270: 1268: 1266: 1264: 720:PDP can be divided into three categories: 50: 21: 2849: 2693: 2644: 2619: 2617: 2597: 2468: 2407: 2366: 2317: 1981: 1788: 1723: 1721: 1719: 1717: 1715: 1637: 1627: 1262: 1260: 1258: 1256: 1254: 1252: 1250: 1248: 1246: 1244: 931:, improves cosmetic features by inducing 4174:Erosive pustular dermatosis of the scalp 3594:Central centrifugal cicatricial alopecia 2163: 2161: 2159: 2115: 2113: 2111: 1445: 1443: 1441: 1439: 1437: 1435: 1090: 435:the first step in the degradation of PGE 151: 2482: 2480: 1671: 1669: 1667: 1665: 1663: 1661: 1659: 1657: 1583: 1581: 1579: 1577: 1575: 1573: 1571: 1485: 1483: 1481: 1479: 1477: 1475: 1473: 1433: 1431: 1429: 1427: 1425: 1423: 1421: 1419: 1417: 1415: 1240: 939:. As a result of this, the increase of 703:secondary hypertrophic osteoarthropathy 4154:Acrokeratosis paraneoplastica of Bazex 1951: 1949: 1527: 1525: 1523: 1521: 1199:features. Male-female ratio in PDP is 954:in fibroblasts, improving pachyderma. 839:Bone formation and pain drug treatment 2990:"Genetic Support – Genetic Resources" 827:that blocks the biological action of 783:Non-steroidal anti-inflammatory drugs 486:Von Willebrand factor is a marker of 409:can be explained by the action of PGE 82:primary hypertrophic osteoarthropathy 34:Primary hypertrophic osteoarthropathy 7: 4935:Primary hypertrophic osteoathropathy 4194:Intermittent hair–follicle dystrophy 2719:Seminars in Arthritis and Rheumatism 1043:familial idiopathic osteoarthropathy 778:Inflammation and pain drug treatment 471:of several other mediators, such as 4131:Recurrent palmoplantar hidradenitis 4012:Idiopathic facial aseptic granuloma 3649:Marie Unna hereditary hypotrichosis 1610:Rajul Rastogi; et al. (2009). 927:, the most effective drug to treat 793:activity and thereby prostaglandin 4900:Leukotriene C4 synthase deficiency 3872:Lupus miliaris disseminatus faciei 3619:Dissecting cellulitis of the scalp 2830:American Journal of Human Genetics 2491:. Elsevier. pp. 230–232, 363. 2076:10.1111/j.1365-2133.1995.tb08638.x 1956:Jin Hyun Kim; et al. (2004). 908:Skin manifestations drug treatment 477:vascular endothelial growth factor 14: 4875:Ghosal hematodiaphyseal dysplasia 4136:Neutrophilic eccrine hidradenitis 3895:Granulomatous perioral dermatitis 2451:Jaejoon Lee; et al. (2008). 1171:(involving a dominant allele) or 1008:junction. Furthermore, it blocks 2731:10.1016/j.semarthrit.2008.08.006 2409:10.1016/j.athoracsur.2015.09.023 1790:10.1111/j.1600-0625.2011.01248.x 1771:Bergmann C, et al. (2011). 1321:10.1111/j.1399-0004.2005.00533.x 1175:(involving a recessive allele). 641:levels are correlated with PDP, 633:Biomarkers and mutation analysis 326:Decreased facial and pubic hair 88:. It is mainly characterized by 4967:Eicosanoid metabolism disorders 4296:Traumatic anserine folliculosis 4007:Granulomatous facial dermatitis 2624:Balmer JE, et al. (2002). 2572:Nelson AM, et al. (2008). 2300:Diggle CP, et al. (2010). 1588:Auger M, Stavrianeas N (2004). 1173:autosomal recessive inheritance 876:. Tamoxifen and several of its 697:PDP is one of the two types of 3318:Malalignment of the nail plate 1169:autosomal dominant inheritance 528:platelet-derived growth factor 86:Touraine-Solente-GolĂ© syndrome 1: 4727:Juvenile idiopathic arthritis 3944:Erythrotelangiectatic rosacea 2676:Park YK, et al. (1988). 1464:10.1016/s2173-5743(09)70134-0 699:hypertrophic osteoarthropathy 339:Gastrointestinal involvement 214:Increased secretion of sebum 116:hypertrophic osteoarthropathy 4199:Keratosis pilaris atropicans 4102:Folliculitis nares perforans 2531:Current Rheumatology Reports 2489:Rang and Dale's Pharmacology 2359:10.1097/jto.0b013e3181fc76a9 2022:10.1097/rhu.0b013e3181df91c6 809:, the COX-2 selective NSAID 367:The locally acting mediator 149:Table 2. Overview of signs 4756:Adult-onset Still's disease 4693:Connective tissue disorders 3969:Persistent edema of rosacea 2319:10.1093/rheumatology/keq048 334:Peripheral vascular stasis 264:Widening of bone formation 257:Thick toe and finger bones 4983: 4401:Postmiliarial hypohidrosis 4229:Menkes kinky hair syndrome 3644:Frontal fibrosing alopecia 3453:Staining of the nail plate 3313:Longitudinal erythronychia 3308:Lichen planus of the nails 2888:10.1016/j.bone.2017.09.015 2842:10.1016/j.ajhg.2011.11.019 2646:10.1194/jlr.r100015-jlr200 2470:10.4078/jkra.2008.15.3.261 1974:10.3346/jkms.2004.19.3.484 1504:10.1016/j.jaad.2009.08.067 1167:in different ways: either 917:retinoid nuclear receptors 666:and receptor activator of 565: 393:can mimic the activity of 4286:Rubinstein–Taybi syndrome 4114:Pseudofolliculitis barbae 3413:Pterygium inversum unguis 2695:10.3349/ymj.1988.29.2.204 2543:10.1007/s11926-002-0073-2 2504:Oncology (Williston Park) 2271:10.1007/s00296-008-0798-y 2225:10.1007/s00247-016-3544-8 2182:10.1007/s00431-006-0407-6 2134:10.1007/s10067-005-1161-2 1742:10.1007/s00296-009-0895-6 1546:10.1080/09546630701389955 1390:10.1007/s10067-009-1197-9 407:periosteal bone formation 186:Thick hand and foot skin 4683:Enteropathic arthropathy 4328:Uncombable hair syndrome 4312:Trichorrhexis invaginata 4126:Hidradenitis suppurativa 3984:Periorificial dermatitis 707:cardiopulmonary diseases 107:or surgical procedures. 4306:Trichomycosis axillaris 4239:Parakeratosis pustulosa 3756:Acne miliaris necrotica 3537:(male-pattern baldness) 3501:noncicatricial alopecia 3423:Purpura of the nail bed 1629:10.4103/0971-3026.50829 1616:Indian J Radiol Imaging 1590:"Pachydermoperiostosis" 715:paraneoplastic syndrome 532:epidermal growth factor 463:Apart from elevated PGE 459:Role of other mediators 221:Sebborheic hyperplasia 4863:Essential hypertension 4751:Palindromic rheumatism 4678:Ankylosing spondylitis 4621:Tuberculosis arthritis 4323:Trichostasis spinulosa 4017:Periorbital dermatitis 3934:Papulopustular rosacea 3852:Acne with facial edema 3842:Acne keloidalis nuchae 3629:Folliculitis decalvans 3624:Graham-Little syndrome 3378:Onychoptosis defluvium 2682:Yonsei Medical Journal 998:botulinum toxin type A 420:Elevated levels of PGE 295:Thick stratum corneum 207:Cutis verticis gyrate 4493:Sebaceous hyperplasia 4408:Granulosis rubra nasi 4271:Pityriasis amiantacea 4224:Loose anagen syndrome 4164:Bubble hair deformity 3954:Gram-negative rosacea 3717:Nevoid hypertrichosis 3589:Pseudopelade of Brocq 3468:Twenty-nail dystrophy 3343:Nail–patella syndrome 3323:Median nail dystrophy 1597:Orphanet Encyclopedia 1492:J. Am. Acad. Dermatol 473:Von Willebrand factor 62:Pachydermoperiostosis 25:Pachydermoperiostosis 4842:metabolism disorders 4739:Rheumatoid arthritis 4376:Miliaria crystalline 4317:Trichorrhexis nodosa 3584:cicatricial alopecia 3566:Alopecia neoplastica 3561:Trichorrhexis nodosa 3194:Yellow nail syndrome 819:can reduce pain and 132:periarticular tissue 4673:Psoriatic arthritis 4475:Fox–Fordyce disease 4260:Pili pseudoannulati 4214:Lichen planopilaris 4189:Hair follicle nevus 4107:Tufted folliculitis 3890:Perioral dermatitis 3639:Triangular alopecia 3556:Lichen planopilaris 3535:Androgenic alopecia 3443:Splinter hemorrhage 3438:Shell nail syndrome 3283:Half and half nails 971:signal transduction 861:In isolated cases, 825:monoclonal antibody 576:can be detected by 4706:systemic sclerosis 4668:Reactive arthritis 4539:Diseases of joints 4396:Occlusion miliaria 4386:Miliaria pustulosa 4276:Plica neuropathica 3974:Rosacea conglobata 3785:Acne medicamentosa 3604:Traumatic alopecia 3458:Subungual hematoma 3101:External resources 2797:Clin Exp Rheumatol 2766:10.1007/BF00270458 2457:Korean Rheum Assoc 2045:Clin Exp Rheumatol 1928:Clin Exp Rheumatol 1867:10.1007/bf02229639 1825:Clin Exp Rheumatol 919:and thus regulate 763:defective enzyme. 637:Since elevated PGE 610:with PDP, such as 413:. Furthermore, PGE 349:Chronic gastritis 318:Muscle discomfort 80:. Other names are 72:that affects both 4944: 4943: 4806: 4805: 4764: 4763: 4639:Chondrocalcinosis 4505: 4504: 4501: 4500: 4381:Miliaria profunda 4341: 4340: 4333:Woolly hair nevus 4219:Lichen spinulosus 4057:Trichilemmal cyst 4030: 4029: 3949:Glandular rosacea 3902:Phymatous rosacea 3832:Occupational acne 3614:Hot comb alopecia 3599:Pressure alopecia 3576:Alopecia mucinosa 3551:Traction alopecia 3546:Telogen effluvium 3124: 3123: 2938:on 11 August 2011 2814:10.1111/ahg.12239 2639:(11): 1773–1780. 2510:(12): 1416–1424. 2434:Am Rev Respir Dis 2353:(12): 1877–1878. 2176:(12): 1237–1243. 1384:(10): 1229–1233. 1156: 1155: 941:connective tissue 871:estrogen receptor 867:nuclear receptors 627:Cheney’s syndrome 524:b-thromboglobulin 386:) were observed. 360: 359: 288:Drooping eyelids 272:Digital clubbing 228:Keloid formation 136:shaggy periosteal 59: 58: 19:Medical condition 4974: 4833: 4826: 4819: 4810: 4791:Bouchard's nodes 4744:Felty's syndrome 4616:Septic arthritis 4604: 4532: 4525: 4518: 4509: 4354: 4291:Setleis syndrome 4255:Pili multigemini 3989:Pyoderma faciale 3734: 3571:Anagen effluvium 3483: 3418:Pterygium unguis 3338:Muehrcke's lines 3225:Onychotillomania 3151: 3144: 3137: 3128: 3006: 2994: 2993: 2986: 2980: 2979: 2974:. Archived from 2968: 2962: 2961: 2954: 2948: 2947: 2945: 2943: 2934:. Archived from 2924: 2918: 2917: 2906: 2900: 2899: 2870: 2864: 2863: 2853: 2821: 2815: 2811: 2805: 2804: 2792: 2786: 2785: 2749: 2743: 2742: 2714: 2708: 2707: 2697: 2673: 2667: 2666: 2648: 2630: 2621: 2612: 2611: 2601: 2590:10.1172/JCI33869 2584:(4): 1468–1478. 2569: 2563: 2562: 2526: 2520: 2519: 2499: 2493: 2492: 2484: 2475: 2474: 2472: 2448: 2442: 2441: 2428: 2422: 2421: 2411: 2387: 2381: 2380: 2370: 2338: 2332: 2331: 2321: 2312:(6): 1056–1062. 2297: 2291: 2290: 2265:(9): 1091–1093. 2254: 2245: 2244: 2208: 2202: 2201: 2165: 2154: 2153: 2117: 2106: 2102: 2096: 2095: 2059: 2053: 2052: 2040: 2034: 2033: 2010:J Clin Rheumatol 2005: 1996: 1995: 1985: 1962:J Korean Med Sci 1953: 1944: 1943: 1923: 1917: 1916: 1896: 1887: 1886: 1850: 1841: 1840: 1820: 1811: 1810: 1792: 1768: 1762: 1761: 1725: 1710: 1709: 1673: 1652: 1651: 1641: 1631: 1607: 1601: 1600: 1594: 1585: 1566: 1565: 1534:J Dermatol Treat 1529: 1516: 1515: 1498:(6): 1036–1041. 1487: 1468: 1467: 1447: 1410: 1409: 1373: 1356: 1355: 1347: 1341: 1340: 1304: 1091: 957:Like retinoids, 937:sebaceous glands 823:in PDP. It is a 649:can be a useful 623:distal phalanges 608:skin alterations 356:Crohn’s disease 152: 144:gastrointestinal 70:genetic disorder 55: 54: 22: 4982: 4981: 4977: 4976: 4975: 4973: 4972: 4971: 4947: 4946: 4945: 4940: 4922:Other/ungrouped 4917: 4880: 4843: 4837: 4807: 4802: 4786:Heberden's node 4769:Noninflammatory 4760: 4715: 4687: 4654: 4625: 4593: 4589:Joint stiffness 4572: 4541: 4536: 4506: 4497: 4479: 4451: 4348: 4337: 4310:Trichorrhexis ( 4142: 4083: 4052:Epidermoid cyst 4026: 3995: 3959:Steroid rosacea 3876: 3837:Acne aestivalis 3775:Excoriated acne 3751:Acne conglobata 3728: 3721: 3653: 3490: 3472: 3448:Spotted lunulae 3408:Psoriatic nails 3363:Onychomatricoma 3176:Onychogryphosis 3161: 3159:skin appendages 3155: 3125: 3120: 3119: 3096: 3095: 3017: 3003: 2998: 2997: 2988: 2987: 2983: 2970: 2969: 2965: 2956: 2955: 2951: 2941: 2939: 2926: 2925: 2921: 2908: 2907: 2903: 2872: 2871: 2867: 2823: 2822: 2818: 2812: 2808: 2794: 2793: 2789: 2751: 2750: 2746: 2716: 2715: 2711: 2675: 2674: 2670: 2628: 2623: 2622: 2615: 2571: 2570: 2566: 2528: 2527: 2523: 2501: 2500: 2496: 2486: 2485: 2478: 2450: 2449: 2445: 2430: 2429: 2425: 2396:Ann Thorac Surg 2389: 2388: 2384: 2340: 2339: 2335: 2299: 2298: 2294: 2256: 2255: 2248: 2210: 2209: 2205: 2167: 2166: 2157: 2119: 2118: 2109: 2103: 2099: 2061: 2060: 2056: 2042: 2041: 2037: 2007: 2006: 1999: 1955: 1954: 1947: 1925: 1924: 1920: 1898: 1897: 1890: 1852: 1851: 1844: 1822: 1821: 1814: 1770: 1769: 1765: 1727: 1726: 1713: 1675: 1674: 1655: 1609: 1608: 1604: 1592: 1587: 1586: 1569: 1531: 1530: 1519: 1489: 1488: 1471: 1449: 1448: 1413: 1378:Rheumatol. Clin 1375: 1374: 1359: 1349: 1348: 1344: 1306: 1305: 1242: 1237: 1228: 1220:prostglandin E2 1203:towards males. 1161: 1083: 1071: 1066: 1050:Life expectancy 1038: 1022: 979:gene expression 923:. For example, 910: 895: 891: 848:bisphosphonates 841: 800: 791:cyclo-oxygenase 787:corticosteroids 780: 760: 737:incomplete form 695: 687:cystic fibrosis 680: 672:bone resorption 648: 640: 635: 570: 564: 540: 504:differentiation 498:(growth of new 466: 461: 454: 450: 438: 423: 416: 412: 392: 385: 381: 377: 372: 369:prostaglandin E 365: 310:Joint effusion 243:Acroosteolysis 193:Leonine facies 124: 94:finger clubbing 49: 20: 17: 12: 11: 5: 4980: 4978: 4970: 4969: 4964: 4962:Genodermatoses 4959: 4949: 4948: 4942: 4941: 4939: 4938: 4925: 4923: 4919: 4918: 4916: 4915: 4912:Glutathionuria 4903: 4890: 4888: 4882: 4881: 4879: 4878: 4866: 4853: 4851: 4845: 4844: 4838: 4836: 4835: 4828: 4821: 4813: 4804: 4803: 4801: 4800: 4799: 4798: 4793: 4788: 4781:Osteoarthritis 4778: 4772: 4770: 4766: 4765: 4762: 4761: 4759: 4758: 4753: 4748: 4747: 4746: 4736: 4735: 4734: 4723: 4721: 4717: 4716: 4714: 4713: 4708: 4703: 4697: 4695: 4689: 4688: 4686: 4685: 4680: 4675: 4670: 4664: 4662: 4656: 4655: 4653: 4652: 4647: 4641: 4635: 4633: 4627: 4626: 4624: 4623: 4618: 4612: 4610: 4601: 4595: 4594: 4592: 4591: 4586: 4580: 4578: 4574: 4573: 4571: 4570: 4565: 4563:Oligoarthritis 4560: 4555: 4549: 4547: 4543: 4542: 4537: 4535: 4534: 4527: 4520: 4512: 4503: 4502: 4499: 4498: 4496: 4495: 4489: 4487: 4481: 4480: 4478: 4477: 4472: 4467: 4461: 4459: 4453: 4452: 4450: 4449: 4448: 4447: 4437: 4436: 4435: 4430: 4425: 4415: 4413:Ross' syndrome 4410: 4405: 4404: 4403: 4398: 4393: 4391:Miliaria rubra 4388: 4383: 4378: 4373: 4371:Colloid milium 4362: 4360: 4351: 4343: 4342: 4339: 4338: 4336: 4335: 4330: 4325: 4320: 4314: 4308: 4303: 4298: 4293: 4288: 4283: 4278: 4273: 4268: 4262: 4257: 4252: 4250:Pili bifurcati 4247: 4241: 4236: 4231: 4226: 4221: 4216: 4211: 4209:Koenen's tumor 4206: 4201: 4196: 4191: 4186: 4181: 4176: 4171: 4166: 4161: 4159:Acroosteolysis 4156: 4150: 4148: 4144: 4143: 4141: 4140: 4139: 4138: 4133: 4128: 4117: 4116: 4111: 4110: 4109: 4104: 4093: 4091: 4085: 4084: 4082: 4081: 4076: 4075: 4074: 4069: 4063:Steatocystoma 4061: 4060: 4059: 4054: 4046:Sebaceous cyst 4041: 4039: 4032: 4031: 4028: 4027: 4025: 4024: 4022:SAPHO syndrome 4019: 4014: 4009: 4003: 4001: 3997: 3996: 3994: 3993: 3992: 3991: 3986: 3976: 3971: 3966: 3964:Ocular rosacea 3961: 3956: 3951: 3946: 3941: 3939:Lupoid rosacea 3936: 3931: 3930: 3929: 3924: 3919: 3914: 3909: 3899: 3898: 3897: 3886: 3884: 3878: 3877: 3875: 3874: 3869: 3864: 3862:Acne necrotica 3859: 3854: 3849: 3847:Acne mechanica 3844: 3839: 3834: 3829: 3827:Acne cosmetica 3824: 3819: 3814: 3813: 3812: 3807: 3802: 3792: 3782: 3780:Acne fulminans 3777: 3772: 3766:Infantile acne 3763: 3758: 3753: 3748: 3742: 3740: 3731: 3723: 3722: 3720: 3719: 3714: 3709: 3708: 3707: 3702: 3697: 3689: 3688: 3687: 3682: 3677: 3669: 3663: 3661: 3659:Hypertrichosis 3655: 3654: 3652: 3651: 3646: 3641: 3632: 3631: 3626: 3621: 3616: 3611: 3609:Tumor alopecia 3606: 3601: 3596: 3591: 3579: 3578: 3573: 3568: 3563: 3558: 3553: 3548: 3543: 3538: 3531: 3530: 3529: 3528: 3523: 3518: 3513: 3496: 3494: 3480: 3474: 3473: 3471: 3470: 3465: 3460: 3455: 3450: 3445: 3440: 3435: 3430: 3425: 3420: 3415: 3410: 3405: 3403:Plummer's nail 3400: 3395: 3390: 3385: 3380: 3375: 3370: 3365: 3360: 3355: 3350: 3345: 3340: 3335: 3330: 3325: 3320: 3315: 3310: 3305: 3300: 3295: 3290: 3285: 3280: 3275: 3270: 3265: 3264: 3263: 3258: 3246: 3245: 3240: 3233: 3232: 3227: 3220: 3219: 3214: 3207: 3206: 3201: 3196: 3191: 3184: 3183: 3178: 3171: 3169: 3163: 3162: 3156: 3154: 3153: 3146: 3139: 3131: 3122: 3121: 3118: 3117: 3105: 3104: 3102: 3098: 3097: 3094: 3093: 3082: 3071: 3057: 3038: 3018: 3013: 3012: 3010: 3009:Classification 3002: 3001:External links 2999: 2996: 2995: 2981: 2978:on 2003-10-21. 2963: 2949: 2932:asso.orpha.net 2919: 2901: 2865: 2816: 2806: 2787: 2760:(4): 185–188. 2744: 2725:(6): 411–419. 2709: 2688:(2): 204–207. 2668: 2613: 2564: 2537:(3): 252–256. 2521: 2494: 2476: 2463:(3): 261–267. 2443: 2423: 2382: 2347:J Thorac Oncol 2333: 2292: 2246: 2219:(5): 727–730. 2213:Pediatr Radiol 2203: 2155: 2122:Rheumatol Clin 2107: 2097: 2070:(1): 128–133. 2054: 2035: 2016:(4): 183–184. 1997: 1968:(3): 484–486. 1945: 1918: 1907:(5): 765–767. 1888: 1861:(5): 435–439. 1855:Clin Rheumatol 1842: 1831:(2): 153–157. 1812: 1763: 1711: 1690:10.1038/ng.153 1684:(6): 789–793. 1653: 1622:(2): 123–126. 1602: 1567: 1517: 1469: 1458:(6): 259–263. 1452:Rheumatol Clin 1411: 1357: 1342: 1315:(6): 477–486. 1239: 1238: 1236: 1233: 1227: 1224: 1160: 1157: 1154: 1153: 1150: 1147: 1141: 1140: 1137: 1134: 1128: 1127: 1124: 1121: 1115: 1114: 1109: 1104: 1101: 1100: 1098: 1095: 1082: 1079: 1070: 1067: 1065: 1062: 1058:leonine facies 1037: 1034: 1021: 1018: 1004:acting at the 909: 906: 893: 889: 840: 837: 813:is preferred. 798: 779: 776: 759: 756: 752: 751: 740: 733: 694: 693:Classification 691: 683:cyclooxygenase 678: 646: 638: 634: 631: 616:hypothyroidism 582:cardiovascular 563: 560: 539: 536: 464: 460: 457: 452: 448: 436: 421: 414: 410: 403:acroosteolysis 390: 383: 379: 375: 370: 364: 361: 358: 357: 354: 351: 350: 347: 344: 343: 340: 336: 335: 332: 328: 327: 324: 320: 319: 316: 312: 311: 308: 305: 304: 301: 297: 296: 293: 290: 289: 286: 282: 281: 280:Hyperhidrosis 278: 274: 273: 270: 266: 265: 262: 259: 258: 255: 252: 251: 248: 245: 244: 241: 238: 237: 234: 233:Bone features 230: 229: 226: 223: 222: 219: 216: 215: 212: 209: 208: 205: 202: 201: 198: 195: 194: 191: 188: 187: 184: 181: 180: 177: 174: 173: 170: 167: 166: 163: 160: 159: 156: 155:Skin features 123: 120: 57: 56: 43: 37: 36: 31: 27: 26: 18: 15: 13: 10: 9: 6: 4: 3: 2: 4979: 4968: 4965: 4963: 4960: 4958: 4955: 4954: 4952: 4936: 4932: 4931: 4927: 4926: 4924: 4920: 4913: 4909: 4908: 4904: 4901: 4897: 4896: 4892: 4891: 4889: 4887: 4883: 4876: 4872: 4871: 4867: 4864: 4860: 4859: 4855: 4854: 4852: 4850: 4846: 4841: 4834: 4829: 4827: 4822: 4820: 4815: 4814: 4811: 4797: 4794: 4792: 4789: 4787: 4784: 4783: 4782: 4779: 4777: 4774: 4773: 4771: 4767: 4757: 4754: 4752: 4749: 4745: 4742: 4741: 4740: 4737: 4733: 4730: 4729: 4728: 4725: 4724: 4722: 4718: 4712: 4709: 4707: 4704: 4702: 4699: 4698: 4696: 4694: 4690: 4684: 4681: 4679: 4676: 4674: 4671: 4669: 4666: 4665: 4663: 4661: 4657: 4651: 4648: 4645: 4642: 4640: 4637: 4636: 4634: 4632: 4628: 4622: 4619: 4617: 4614: 4613: 4611: 4609: 4605: 4602: 4600: 4596: 4590: 4587: 4585: 4582: 4581: 4579: 4575: 4569: 4568:Polyarthritis 4566: 4564: 4561: 4559: 4558:Monoarthritis 4556: 4554: 4551: 4550: 4548: 4544: 4540: 4533: 4528: 4526: 4521: 4519: 4514: 4513: 4510: 4494: 4491: 4490: 4488: 4486: 4482: 4476: 4473: 4471: 4470:Chromhidrosis 4468: 4466: 4463: 4462: 4460: 4458: 4454: 4446: 4443: 4442: 4441: 4438: 4434: 4431: 4429: 4426: 4424: 4421: 4420: 4419: 4418:Hyperhidrosis 4416: 4414: 4411: 4409: 4406: 4402: 4399: 4397: 4394: 4392: 4389: 4387: 4384: 4382: 4379: 4377: 4374: 4372: 4369: 4368: 4367: 4364: 4363: 4361: 4359: 4355: 4352: 4350: 4344: 4334: 4331: 4329: 4326: 4324: 4321: 4318: 4315: 4313: 4309: 4307: 4304: 4302: 4299: 4297: 4294: 4292: 4289: 4287: 4284: 4282: 4279: 4277: 4274: 4272: 4269: 4266: 4263: 4261: 4258: 4256: 4253: 4251: 4248: 4246: 4245:Pili annulati 4242: 4240: 4237: 4235: 4232: 4230: 4227: 4225: 4222: 4220: 4217: 4215: 4212: 4210: 4207: 4205: 4202: 4200: 4197: 4195: 4192: 4190: 4187: 4185: 4182: 4180: 4177: 4175: 4172: 4170: 4167: 4165: 4162: 4160: 4157: 4155: 4152: 4151: 4149: 4145: 4137: 4134: 4132: 4129: 4127: 4124: 4123: 4122: 4119: 4118: 4115: 4112: 4108: 4105: 4103: 4100: 4099: 4098: 4095: 4094: 4092: 4090: 4086: 4080: 4077: 4073: 4070: 4068: 4065: 4064: 4062: 4058: 4055: 4053: 4050: 4049: 4047: 4043: 4042: 4040: 4038: 4033: 4023: 4020: 4018: 4015: 4013: 4010: 4008: 4005: 4004: 4002: 3998: 3990: 3987: 3985: 3982: 3981: 3980: 3977: 3975: 3972: 3970: 3967: 3965: 3962: 3960: 3957: 3955: 3952: 3950: 3947: 3945: 3942: 3940: 3937: 3935: 3932: 3928: 3925: 3923: 3920: 3918: 3915: 3913: 3912:Blepharophyma 3910: 3908: 3905: 3904: 3903: 3900: 3896: 3893: 3892: 3891: 3888: 3887: 3885: 3883: 3879: 3873: 3870: 3868: 3865: 3863: 3860: 3858: 3855: 3853: 3850: 3848: 3845: 3843: 3840: 3838: 3835: 3833: 3830: 3828: 3825: 3823: 3820: 3818: 3815: 3811: 3808: 3806: 3803: 3801: 3798: 3797: 3796: 3793: 3790: 3786: 3783: 3781: 3778: 3776: 3773: 3771: 3770:Neonatal acne 3767: 3764: 3762: 3761:Tropical acne 3759: 3757: 3754: 3752: 3749: 3747: 3746:Acne vulgaris 3744: 3743: 3741: 3739: 3735: 3732: 3730: 3724: 3718: 3715: 3713: 3710: 3706: 3703: 3701: 3698: 3696: 3693: 3692: 3690: 3686: 3683: 3681: 3678: 3676: 3673: 3672: 3670: 3668: 3665: 3664: 3662: 3660: 3656: 3650: 3647: 3645: 3642: 3640: 3637: 3634: 3633: 3630: 3627: 3625: 3622: 3620: 3617: 3615: 3612: 3610: 3607: 3605: 3602: 3600: 3597: 3595: 3592: 3590: 3587: 3585: 3581: 3580: 3577: 3574: 3572: 3569: 3567: 3564: 3562: 3559: 3557: 3554: 3552: 3549: 3547: 3544: 3542: 3541:Hypotrichosis 3539: 3536: 3533: 3532: 3527: 3524: 3522: 3519: 3517: 3514: 3512: 3509: 3508: 3507: 3504: 3502: 3498: 3497: 3495: 3493: 3488: 3484: 3481: 3479: 3475: 3469: 3466: 3464: 3463:Terry's nails 3461: 3459: 3456: 3454: 3451: 3449: 3446: 3444: 3441: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3399: 3396: 3394: 3391: 3389: 3388:Onychoschizia 3386: 3384: 3383:Onychorrhexis 3381: 3379: 3376: 3374: 3371: 3369: 3368:Onychomycosis 3366: 3364: 3361: 3359: 3358:Onychomadesis 3356: 3354: 3351: 3349: 3348:Onychoatrophy 3346: 3344: 3341: 3339: 3336: 3334: 3331: 3329: 3326: 3324: 3321: 3319: 3316: 3314: 3311: 3309: 3306: 3304: 3301: 3299: 3296: 3294: 3291: 3289: 3286: 3284: 3281: 3279: 3276: 3274: 3271: 3269: 3266: 3262: 3259: 3257: 3254: 3253: 3252: 3248: 3247: 3244: 3241: 3239: 3235: 3234: 3231: 3228: 3226: 3222: 3221: 3218: 3217:Nail clubbing 3215: 3213: 3209: 3208: 3205: 3202: 3200: 3197: 3195: 3192: 3190: 3186: 3185: 3182: 3179: 3177: 3173: 3172: 3170: 3168: 3164: 3160: 3157:Disorders of 3152: 3147: 3145: 3140: 3138: 3133: 3132: 3129: 3116: 3112: 3111: 3107: 3106: 3103: 3099: 3092: 3088: 3087: 3083: 3081: 3077: 3076: 3072: 3070: 3067: 3063: 3062: 3058: 3056: 3052: 3048: 3047: 3043: 3039: 3037: 3033: 3029: 3028: 3024: 3020: 3019: 3016: 3011: 3007: 3000: 2991: 2985: 2982: 2977: 2973: 2967: 2964: 2959: 2958:"΀ο ÎœÎ­Î»Î»ÎżÎœ |" 2953: 2950: 2937: 2933: 2929: 2923: 2920: 2915: 2911: 2905: 2902: 2897: 2893: 2889: 2885: 2881: 2877: 2869: 2866: 2861: 2857: 2852: 2847: 2843: 2839: 2836:(1): 125–32. 2835: 2831: 2827: 2820: 2817: 2810: 2807: 2802: 2798: 2791: 2788: 2783: 2779: 2775: 2771: 2767: 2763: 2759: 2755: 2754:Rheumatol Int 2748: 2745: 2740: 2736: 2732: 2728: 2724: 2720: 2713: 2710: 2705: 2701: 2696: 2691: 2687: 2683: 2679: 2672: 2669: 2664: 2660: 2656: 2652: 2647: 2642: 2638: 2634: 2627: 2620: 2618: 2614: 2609: 2605: 2600: 2595: 2591: 2587: 2583: 2579: 2578:J Clin Invest 2575: 2568: 2565: 2560: 2556: 2552: 2548: 2544: 2540: 2536: 2532: 2525: 2522: 2517: 2513: 2509: 2505: 2498: 2495: 2490: 2483: 2481: 2477: 2471: 2466: 2462: 2458: 2454: 2447: 2444: 2440:(4): 639–646. 2439: 2435: 2427: 2424: 2419: 2415: 2410: 2405: 2401: 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1730:Rheumatol Int 1724: 1722: 1720: 1718: 1716: 1712: 1707: 1703: 1699: 1695: 1691: 1687: 1683: 1679: 1672: 1670: 1668: 1666: 1664: 1662: 1660: 1658: 1654: 1649: 1645: 1640: 1635: 1630: 1625: 1621: 1617: 1613: 1606: 1603: 1598: 1591: 1584: 1582: 1580: 1578: 1576: 1574: 1572: 1568: 1563: 1559: 1555: 1551: 1547: 1543: 1539: 1535: 1528: 1526: 1524: 1522: 1518: 1513: 1509: 1505: 1501: 1497: 1493: 1486: 1484: 1482: 1480: 1478: 1476: 1474: 1470: 1465: 1461: 1457: 1453: 1446: 1444: 1442: 1440: 1438: 1436: 1434: 1432: 1430: 1428: 1426: 1424: 1422: 1420: 1418: 1416: 1412: 1407: 1403: 1399: 1395: 1391: 1387: 1383: 1379: 1372: 1370: 1368: 1366: 1364: 1362: 1358: 1353: 1346: 1343: 1338: 1334: 1330: 1326: 1322: 1318: 1314: 1310: 1303: 1301: 1299: 1297: 1295: 1293: 1291: 1289: 1287: 1285: 1283: 1281: 1279: 1277: 1275: 1273: 1271: 1269: 1267: 1265: 1263: 1261: 1259: 1257: 1255: 1253: 1251: 1249: 1247: 1245: 1241: 1234: 1232: 1225: 1223: 1221: 1217: 1214:transporter ( 1213: 1212:prostaglandin 1209: 1204: 1202: 1198: 1194: 1190: 1185: 1182:and variable 1181: 1176: 1174: 1170: 1166: 1158: 1151: 1148: 1146: 1143: 1142: 1138: 1135: 1133: 1130: 1129: 1125: 1122: 1120: 1117: 1116: 1113: 1110: 1108: 1105: 1103: 1102: 1099: 1096: 1093: 1092: 1089: 1086: 1080: 1078: 1076: 1068: 1063: 1061: 1059: 1055: 1051: 1046: 1044: 1035: 1033: 1031: 1027: 1020:Surgical Care 1019: 1017: 1015: 1011: 1007: 1006:neuromuscular 1003: 1002:acetylcholine 999: 994: 992: 988: 984: 980: 976: 972: 968: 967:cell division 964: 960: 955: 953: 950: 946: 942: 938: 935:within human 934: 930: 926: 922: 921:transcription 918: 914: 907: 905: 903: 899: 887: 883: 882:DNA synthesis 879: 875: 872: 868: 864: 859: 857: 853: 849: 845: 844:Rheumatologic 838: 836: 834: 830: 826: 822: 818: 814: 812: 808: 804: 803:polyarthritis 796: 792: 788: 785:(NSAIDs) and 784: 777: 775: 773: 768: 766: 757: 755: 749: 745: 741: 738: 734: 731: 727: 726:complete form 723: 722: 721: 718: 716: 712: 708: 704: 700: 692: 690: 688: 684: 675: 673: 669: 665: 659: 657: 652: 644: 632: 630: 628: 624: 619: 617: 613: 609: 605: 601: 599: 595: 591: 587: 583: 579: 575: 569: 561: 559: 557: 553: 549: 545: 537: 535: 533: 529: 525: 521: 517: 513: 509: 505: 501: 500:blood vessels 497: 493: 489: 484: 482: 478: 474: 470: 469:plasma levels 458: 456: 446: 442: 434: 431: 427: 418: 408: 404: 400: 396: 387: 373: 362: 355: 353: 352: 348: 346: 345: 342:Peptic ulcer 341: 338: 337: 333: 330: 329: 325: 322: 321: 317: 314: 313: 309: 307: 306: 302: 299: 298: 294: 292: 291: 287: 285:Eye features 284: 283: 279: 276: 275: 271: 268: 267: 263: 261: 260: 256: 254: 253: 250:Mylefibrosis 249: 247: 246: 242: 240: 239: 235: 232: 231: 227: 225: 224: 220: 218: 217: 213: 211: 210: 206: 204: 203: 199: 197: 196: 192: 190: 189: 185: 183: 182: 178: 176: 175: 171: 169: 168: 164: 162: 161: 157: 154: 153: 150: 147: 145: 141: 137: 133: 129: 121: 119: 117: 113: 108: 106: 102: 97: 95: 91: 87: 83: 79: 75: 71: 67: 63: 53: 47: 44: 42: 38: 35: 32: 28: 23: 4957:Osteopathies 4928: 4905: 4893: 4886:Leukotrienes 4868: 4856: 4776:Hemarthrosis 4660:Seronegative 4646:(Pseudogout) 4599:Inflammatory 4440:Hypohidrosis 4433:Palmoplantar 4301:Trichomegaly 4204:Kinking hair 4121:Hidradenitis 4097:Folliculitis 4089:Inflammation 3978: 3795:Halogen acne 3789:steroid acne 3635: 3582: 3499: 3428:Racquet nail 3398:Pincer nails 3373:Onychophosis 3333:Melanonychia 3303:Ingrown nail 3293:Hapalonychia 3268:Chevron nail 3238:Ingrown nail 3230:Onychophagia 3204:Azure lunula 3189:Beau's lines 3108: 3084: 3073: 3059: 3040: 3021: 2984: 2976:the original 2966: 2952: 2940:. Retrieved 2936:the original 2931: 2922: 2914:iholiitto.fi 2913: 2904: 2879: 2875: 2868: 2833: 2829: 2819: 2809: 2800: 2796: 2790: 2757: 2753: 2747: 2722: 2718: 2712: 2685: 2681: 2671: 2636: 2632: 2581: 2577: 2567: 2534: 2530: 2524: 2507: 2503: 2497: 2488: 2460: 2456: 2446: 2437: 2433: 2426: 2402:(2): e51–3. 2399: 2395: 2385: 2350: 2346: 2336: 2309: 2305: 2295: 2262: 2258: 2216: 2212: 2206: 2173: 2169: 2125: 2121: 2100: 2067: 2063: 2057: 2048: 2044: 2038: 2013: 2009: 1965: 1961: 1934:(1): 57–62. 1931: 1927: 1921: 1904: 1900: 1858: 1854: 1828: 1824: 1783:(6): 531–3. 1780: 1777:Exp Dermatol 1776: 1766: 1736:(1): 39–43. 1733: 1729: 1681: 1677: 1619: 1615: 1605: 1596: 1540:(1): 61–63. 1537: 1533: 1495: 1491: 1455: 1451: 1381: 1377: 1351: 1345: 1312: 1308: 1229: 1205: 1177: 1162: 1144: 1131: 1118: 1111: 1106: 1094:Form of PDP 1087: 1084: 1081:Distribution 1072: 1064:Epidemiology 1047: 1039: 1030:eye drooping 1026:rhytidectomy 1023: 995: 963:microtubules 956: 925:isotretinoin 911: 884:. Cells are 860: 842: 815: 781: 772:inflammation 769: 765:Gene therapy 761: 753: 743: 736: 725: 719: 711:malignancies 696: 676: 668:NF-ÎșB ligand 660: 636: 620: 602: 571: 556:chromosome 3 548:chromosome 4 541: 520:endothelin-1 496:angiogenesis 485: 462: 439:and related 419: 388: 366: 236:Periostosis 165:Coarse skin 158:Pachydermia 148: 125: 109: 98: 85: 81: 68:) is a rare 65: 61: 60: 46:Rheumatology 33: 4849:Prostanoids 4423:Generalized 4234:Monilethrix 4035:Follicular 3917:Gnathophyma 3857:Pomade acne 3712:Prepubertal 3695:generalised 3691:Congenital 3680:generalised 3521:universalis 3433:Red lunulae 3393:Platonychia 3353:Onycholysis 3328:Mees' lines 3278:Green nails 3249:ungrouped: 3212:Koilonychia 3199:Leukonychia 3174:thickness: 2633:J Lipid Res 2128:(1): 8–11. 1901:J Rheumatol 1309:Clin. Genet 1010:cholinergic 991:chemotactic 983:neutrophils 959:colchicines 949:procollagen 945:hyperplasia 886:accumulated 878:metabolites 856:risedronate 852:pamidronate 807:gastropathy 797:. Since PGE 744:fruste form 604:Skin biopsy 598:mediastinal 578:radiographs 530:(PDGF) and 516:osteocalcin 508:osteoblasts 492:endothelial 481:progression 441:eicosanoids 399:osteoclasts 395:osteoblasts 303:Arthralgia 30:Other names 4951:Categories 4840:Eicosanoid 4796:Osteophyte 4608:Infectious 4584:Joint pain 4445:Anhidrosis 4265:Pili torti 4184:Hair casts 3907:Rhinophyma 3805:Bromoderma 3636:ungrouped: 3251:Paronychia 3223:behavior: 3181:Onychauxis 3086:DiseasesDB 2942:12 January 2882:: 96–102. 1678:Nat. Genet 1235:References 1184:expression 1180:penetrance 1132:Incomplete 1075:prevalence 1069:Prevalence 987:leukocytes 975:regulation 874:antagonist 850:, such as 817:Infliximab 811:etorixocib 594:intestinal 574:periosteum 566:See also: 512:fibroblast 200:Furrowing 172:Oily skin 140:arthralgia 90:pachyderma 4711:Sjögren's 4553:Arthritis 4485:Sebaceous 4465:Body odor 4428:Gustatory 4147:Ungrouped 4072:multiplex 4000:Ungrouped 3922:Metophyma 3867:Blackhead 3810:Chloracne 3800:Iododerma 3727:Acneiform 3700:localised 3685:patterned 3675:localised 3671:Acquired 3667:Hirsutism 3487:Hair loss 3298:Hook nail 3243:Anonychia 3110:eMedicine 2928:"Accueil" 2306:Rheumatol 1165:inherited 1036:Prognosis 1014:secretion 933:apoptosis 913:Retinoids 863:tamoxifen 821:arthritis 795:synthesis 758:Treatment 748:cutaneous 730:phenotype 656:pathology 651:biomarker 586:pulmonary 562:Diagnosis 445:substrate 433:catalyzes 426:HPGD gene 331:Vascular 277:Sweating 269:Clubbing 128:furrowing 41:Specialty 4577:Symptoms 4457:Apocrine 4366:Miliaria 4281:Poliosis 3979:variants 3927:Otophyma 3822:Tar acne 3817:Oil acne 3729:eruption 3705:X-linked 3526:Ophiasis 3506:Alopecia 3492:Baldness 3288:Hangnail 3115:derm/815 2896:28963081 2860:22197487 2803:(7): 73. 2739:18973929 2663:22957863 2655:12401878 2608:18317594 2551:12010611 2516:19322949 2418:26777972 2377:22024643 2328:20299379 2279:19050893 2241:44002008 2233:26939972 2198:24196660 2190:17285282 2142:16738844 2092:23015271 2051:(7): 72. 2030:20414127 1992:15201523 1940:10728444 1883:11830195 1837:20406614 1807:37699664 1799:21426412 1758:34504809 1750:19306095 1706:23484059 1698:18500342 1648:19881067 1562:27962868 1554:18273728 1512:20933299 1406:24964091 1398:19455364 1337:21973812 1329:16283874 1159:Heredity 1119:Complete 1054:cosmetic 898:In vitro 896:phases. 833:cytokine 612:myxedema 538:Genetics 488:platelet 315:Muscles 122:Symptoms 112:skeleton 105:steroids 4631:Crystal 4546:General 4358:Eccrine 4067:simplex 3882:Rosacea 3787:(e.g., 3516:totalis 3261:Chronic 3236:other: 3210:shape: 3187:color: 3080:D010004 2851:3257902 2782:1399956 2774:3187331 2704:3064439 2599:2262030 2559:4507579 2368:3371124 2287:5673717 2150:6656163 2084:7756124 1983:2816858 1913:1613707 1875:8894355 1639:2765176 1226:Society 1216:SLCO2A1 996:Use of 902:agonist 643:urinary 590:hepatic 552:SLCO2A1 300:Joints 179:Eczema 4870:TBSAX1 4349:glands 4243:Pili ( 3511:areata 3069:259100 3066:167100 3055:757.39 2910:"Home" 2894:  2858:  2848:  2780:  2772:  2737:  2702:  2661:  2653:  2606:  2596:  2557:  2549:  2514:  2416:  2375:  2365:  2326:  2285:  2277:  2239:  2231:  2196:  2188:  2148:  2140:  2090:  2082:  2028:  1990:  1980:  1938:  1911:  1881:  1873:  1835:  1805:  1797:  1756:  1748:  1704:  1696:  1646:  1636:  1560:  1552:  1510:  1404:  1396:  1335:  1327:  1201:skewed 1145:Fruste 502:) and 430:enzyme 101:NSAIDs 48:  4895:LTC4s 4858:PTGIS 4720:Other 4347:Sweat 4079:Milia 4037:cysts 3256:Acute 3091:29069 3051:731.2 3036:M89.4 3032:L62.0 2778:S2CID 2659:S2CID 2629:(PDF) 2555:S2CID 2283:S2CID 2237:S2CID 2194:S2CID 2146:S2CID 2088:S2CID 1879:S2CID 1803:S2CID 1754:S2CID 1702:S2CID 1593:(PDF) 1558:S2CID 1402:S2CID 1333:S2CID 1189:joint 1112:Women 892:and G 829:TNF-α 554:) in 546:) in 363:Cause 323:Hair 74:bones 4930:HPGD 4907:GGT1 4650:Gout 4644:CPPD 3738:Acne 3478:Hair 3167:Nail 3075:MeSH 3061:OMIM 3046:9-CM 2944:2022 2892:PMID 2876:Bone 2856:PMID 2770:PMID 2735:PMID 2700:PMID 2651:PMID 2604:PMID 2547:PMID 2512:PMID 2414:PMID 2373:PMID 2324:PMID 2275:PMID 2229:PMID 2186:PMID 2138:PMID 2080:PMID 2026:PMID 1988:PMID 1936:PMID 1909:PMID 1871:PMID 1833:PMID 1795:PMID 1746:PMID 1694:PMID 1644:PMID 1550:PMID 1508:PMID 1394:PMID 1325:PMID 1208:HPGD 1197:skin 1195:and 1193:bone 1152:12% 1139:71% 1136:50% 1126:18% 1123:45% 1097:Sex 985:and 973:and 952:mRNA 943:and 929:acne 888:in G 742:The 735:The 724:The 664:IL-6 614:and 596:and 544:HPGD 490:and 475:and 405:and 397:and 374:(PGE 142:and 134:and 103:and 78:skin 76:and 4701:SLE 3042:ICD 3023:ICD 2884:doi 2880:106 2846:PMC 2838:doi 2762:doi 2727:doi 2690:doi 2641:doi 2594:PMC 2586:doi 2582:118 2539:doi 2465:doi 2404:doi 2400:101 2363:PMC 2355:doi 2314:doi 2267:doi 2221:doi 2178:doi 2174:166 2130:doi 2105:Res 2072:doi 2068:133 2018:doi 1978:PMC 1970:doi 1863:doi 1785:doi 1738:doi 1686:doi 1634:PMC 1624:doi 1542:doi 1500:doi 1460:doi 1386:doi 1317:doi 1149:5% 1107:Men 977:of 854:or 713:or 677:PGE 645:PGE 506:of 447:PGE 389:PGE 84:or 66:PDP 4953:: 4048:" 3113:: 3089:: 3078:: 3064:: 3053:, 3049:: 3034:, 3030:: 3027:10 2930:. 2912:. 2890:. 2878:. 2854:. 2844:. 2834:90 2832:. 2828:. 2801:10 2799:. 2776:. 2768:. 2756:. 2733:. 2723:38 2721:. 2698:. 2686:29 2684:. 2680:. 2657:. 2649:. 2637:43 2635:. 2631:. 2616:^ 2602:. 2592:. 2580:. 2576:. 2553:. 2545:. 2533:. 2508:22 2506:. 2479:^ 2461:15 2459:. 2455:. 2438:17 2436:. 2412:. 2398:. 2394:. 2371:. 2361:. 2349:. 2345:. 2322:. 2310:49 2308:. 2304:. 2281:. 2273:. 2263:29 2261:. 2249:^ 2235:. 2227:. 2217:46 2215:. 2192:. 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Index

Specialty
Rheumatology
Edit this on Wikidata
genetic disorder
bones
skin
pachyderma
finger clubbing
NSAIDs
steroids
skeleton
hypertrophic osteoarthropathy
furrowing
periarticular tissue
shaggy periosteal
arthralgia
gastrointestinal
prostaglandin E2
osteoblasts
osteoclasts
acroosteolysis
periosteal bone formation
HPGD gene
enzyme
catalyzes
eicosanoids
substrate
plasma levels
Von Willebrand factor
vascular endothelial growth factor

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