Clubbing of the Toes
July 1st, 2020
Overview
Look For
- Enlargement of the distal segments of the fingers and / or toes, due to proliferation of connective tissue.
Causes of Clubbing of the Toes
- Cyanotic congenital heart disease
- Pulmonary malignancy - lung cancer, lymphoma, mesothelioma
- Chronic infection / inflammation - bronchiectasis, lung abscess, empyema, interstitial lung disease, coeliac disease, IBD, infective endocarditis
- Cirrhosis
Clubbing was first described by Hippocrates in 400BC after noting the sign in a patient with empyema.
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