RT Book, Section
A1 Ritter, Kathryn
A1 Fitch, Robert Warne
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181043618
T1 Digital Clubbing
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181043618
RD 2024/04/25
AB Digital  clubbing  is  characterized  by  bulbous  fusiform  enlargement  of  the  distal  portion  of  a  digit  with  loss  of  the  angle  between  the  proximal  nail  fold  and  the  nail  plate  (Lovibond  angle).  The  mechanism  underlying  clubbing  is  not  known.  It  is  associated  with  multiple  medical  conditions  including  carcinoma,  intrathoracic  sepsis,  bacterial  endocarditis,  cyanotic  congenital  heart  disease,  esophageal  disorders,  cirrhosis,  inflammatory  bowel  disease,  pulmonary  disorders,  atrial  myxoma,  multiple  pregnancies,  and  pachydermoperiostosis.  The  incidence  of  clubbing  with  each  of  these  conditions  is  variable.  It  may  be  reversible  in  certain  disease  processes.