Labels:text | screenshot | black | black and white | font | document OCR: graph Thyroid Fig 23.50a Thyroid acropachy: hand rad showing periosteal reaction and clubbir se and acropachy occurs as part of Graves' dise s, usually consists of clubbing of the fingers and t ial associated with exophthalmos and pret sarily part myxoedema. Bone changes are not nec ently of the syndrome although they are frec present. The PA film of a hand shows d characteristic periosteal reaction of thy haft of the acropachy along the radial aspect of the e first metacarpal, the typical site. Soft tis e distal thickening is evident around some of phalanges. See also: . Graves' Disease
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