Complete Primary Pachydermoperiostosis: A Rare Neglected Clinicoradiological Case

Complete Primary Pachydermoperiostosis is a rare syndrome characterized by skin and skeletal manifestations. Diagnosis is often challenging due to variable presentations and a lack of confirmatory laboratory and radiological tests. Vigilant history taking and thorough clinical examination are therefore of the utmost importance. A 37-year-old male patient was admitted to the ER with a tibia fracture. He also complained of persistent pain in all extremities. A further workup revealed advanced digital clubbing. All four of his limbs had long-standing deformities. The face and skin also revealed remarkable observations. Radiological investigations were done, and he was diagnosed as a case of complete primary PachyDermoPeriostosis (PDP). We were able to diagnose a long-standing case of primary PDP with the help of clinical history, physical examination, and appropriate imaging.