Abstract
Clubbing is the bulbous enlargement of the distal segment of digits. It is known to be associated with several cardiological, gastrointestinal, pulmonary, neoplastic, infectious, and endocrinological disorders. Rarely clubbing may not associate with any underlying pathology despite presenting in a later stage. Here we report a case of a 26- year- old man who presented with a history of recent onset of clubbing. Following extensive evaluation we were unable to find a possible etiology.
Highlights
Digital clubbing was first described by Hippocrates nearly 2500 years ago
Secondary clubbing may be due to a wide spectrum of diseases of which lung diseases accounts for 75-80% while cardiac conditions account for 10-15%. 4 Hereditary clubbing occurs in the childhood in the absence of an underlying condition
Idiopathic clubbing is usually identified by the clinician in routine clinical examination when a patient presents for a non-related condition or more rarely presents with clubbing itself as in this patient
Summary
Digital clubbing was first described by Hippocrates nearly 2500 years ago. It is the bulbous enlargement of the distal segment of digits.[1]. A 26- year- old man was admitted to the Colombo South Teaching Hospital medical ward with a history of gradually progressing swelling of the terminal part of all fingers and toes for 5 years duration He was clinically well and there was no history of chest pain, difficulty in breathing or limitation of physical activities, syncope, cyanosis, cough or any gastrointestinal. His laboratory results showed a leukocyte count of 8 × 109/L with a platelet count of 286 × 109/L and the hemoglobin was 13.5 g/dL. The serum creatinine was 91 micromoles/L on admission with a potassium of 3.8 mmol/L and sodium of 137 mmol/L His C-reactive protein was
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