Clubbing

Your Path

  • Clubbing

Etiology

  • Bronchiectasis
  • Cystic fibrosis
  • Graves disease
  • Associated w/chronic lung disease and hypoxia (though most patients w/either wont have clubbing)
  • Interstitial lung disease (IPF)
  • Cyanotic congenital heart disease
  • Some cancers - lung in particular

Symptoms

  • SOB, DOE (from underlying process) - clubbing itself doesn't cause symptoms

Physical Exam Findings

  • Bulbous appears to distal phalanx and nail
  • Flattening of angle between nail plate base and cuticle
  • Loss of diamond shaped window when put fingers together aligned at cuticle

Links