RT Journal Article SR Electronic T1 Circulating vascular endothelial growth factor concentrations in a case of pulmonary hypertrophic osteoarthropathy. Correlation with disease activity. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 614 OP 616 VO 31 IS 3 A1 Francisco Olán A1 Margarita Portela A1 Carmen Navarro A1 Miguel Gaxiola A1 Luis H Silveira A1 Victor Ruiz A1 Manuel Martínez-Lavín YR 2004 UL http://www.jrheum.org/content/31/3/614.abstract AB Vascular endothelial growth factor (VEGF) is a cytokine overexpressed in hypoxic and malignant pathologies. VEGF induces vascular hyperplasia, new bone formation, and edema. These histological abnormalities characterize hypertrophic osteoarthropathy. We describe a case of pulmonary hypertrophic osteoarthropathy with high circulating VEGF levels. Removal of the lung tumor led to a dramatic disappearance of the skeletal abnormalities and to reduction of circulating VEGF levels. Histochemical studies of the excised tumor confirmed abnormal VEGF production.