Symmetrical osteitis of the four limbs, chiefly localized to the phalanges and the terminal epiphyses of the long bones of the forearm and leg, sometimes extending to the proximal ends of the limbs and the flat bones, and accompanied by dorsal kyphosis and joint involvement. It is often secondary to chronic conditions of the lungs and heart. (Dorland, 27th ed). The disease is secondary hypertrophic osteoarthropathy (MONDO_0006965). Also known as: Bamberger-Marie disease, HPOA - hypertrophic pulmonary osteoarthropathy, Marie Bamberger disease, hypertrophic pulmonary osteoarthropathy, hypertrophic pulmonary osteoarthropathy (disorder) [ambiguous].