Signs
Clubbing
Clubbing is an increased amount of soft tissue in the terminal phalanx
of the fingers and toes, concentrated around the nail base. It is seen by
inspecting the nails (fingers and toes) from the side. Gross clubbing is
usually obvious (drumstick appearance of fingers), but mild clubbing may be
difficult to detect (loss of the angle at the base of the nail and sponginess
of the nail bed). The pathological mechanism of clubbing is unknown, and causes
are shown in Table 3.3.
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