Clubbing
Clubbing
Can develop within weeks, and resolve after resolution of cause
Diagnosed
DDx
Acquired bilateral (usually starts in thumb/index)
Acquired unilateral
Congenital
Can develop within weeks, and resolve after resolution of cause
Diagnosed
- The nail bed soften. The nails may seem to "float" instead of being firmly attached.
- The Lovibond angle >180°
DDx
Acquired bilateral (usually starts in thumb/index)
- Respiratory (Ex)
- Suppurative lung disease
- Bronchiectasis inc CF
- Abcess/empyema
- Diffuse Lung Disease
- Pulmonary lymphoma
- Suppurative lung disease
- Cardio
- Cyanotic congenital heart disease
- Congestive heart failure
- Bacterial Endocarditis
- GIT
- IBD
- Coeliac
- Cirrhosis
- GI lymphoma
- Thyroid
- Graves
Acquired unilateral
- AV fistula
- Aneurysm
- Lymphadenitis
- Trauma (single nail)
Congenital
- Primary hypertrophic osteoarthropathy (with periostosis, skin thickening..)
- Isolated congenital clubbing (incomplete PHOA