Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association
A 62-year-old housewife presented to the chest outpatient department with a history of exertional breathlessness of four-month duration. On general physical examination, clubbing of toes was present with sparing of fingers. Chest examination revealed bilateral basal end inspiratory fine crepitations...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2012/684285 |
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| author | Rahul Magazine Ranjan Shetty Umesh Goneppanavar Aswini K. Mohapatra |
| author_facet | Rahul Magazine Ranjan Shetty Umesh Goneppanavar Aswini K. Mohapatra |
| author_sort | Rahul Magazine |
| collection | DOAJ |
| description | A 62-year-old housewife presented to the chest outpatient department with a history of exertional breathlessness of four-month duration. On general physical examination, clubbing of toes was present with sparing of fingers. Chest examination revealed bilateral basal end inspiratory fine crepitations. A diagnosis of idiopathic pulmonary fibrosis was made on the basis of clinical, spirometric, and high-resolution computed tomography findings. Extensive evaluation could not reveal any cause for the differential clubbing. The unusual distribution of clubbing in a clinical condition, such as idiopathic pulmonary fibrosis, where generalized clubbing is expected can lead to a diagnostic confusion. This can lead to a further burden of investigations on the patient as clubbing being a significant finding cannot be ignored. |
| format | Article |
| id | doaj-art-85392feb84f5458ab620877a0ac63064 |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-85392feb84f5458ab620877a0ac630642025-02-03T01:11:07ZengWileyCase Reports in Pulmonology2090-68462090-68542012-01-01201210.1155/2012/684285684285Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual AssociationRahul Magazine0Ranjan Shetty1Umesh Goneppanavar2Aswini K. Mohapatra3Department of Pulmonary Medicine, Kasturba Medical College, Manipal University, Karnataka, Manipal 576104, IndiaDepartment of Cardiology, Kasturba Medical College, Manipal University, Karnataka, Manipal 576104, IndiaDepartment of Anaesthesiology, Kasturba Medical College, Manipal University, Karnataka, Manipal 576104, IndiaDepartment of Pulmonary Medicine, Kasturba Medical College, Manipal University, Karnataka, Manipal 576104, IndiaA 62-year-old housewife presented to the chest outpatient department with a history of exertional breathlessness of four-month duration. On general physical examination, clubbing of toes was present with sparing of fingers. Chest examination revealed bilateral basal end inspiratory fine crepitations. A diagnosis of idiopathic pulmonary fibrosis was made on the basis of clinical, spirometric, and high-resolution computed tomography findings. Extensive evaluation could not reveal any cause for the differential clubbing. The unusual distribution of clubbing in a clinical condition, such as idiopathic pulmonary fibrosis, where generalized clubbing is expected can lead to a diagnostic confusion. This can lead to a further burden of investigations on the patient as clubbing being a significant finding cannot be ignored.http://dx.doi.org/10.1155/2012/684285 |
| spellingShingle | Rahul Magazine Ranjan Shetty Umesh Goneppanavar Aswini K. Mohapatra Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association Case Reports in Pulmonology |
| title | Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association |
| title_full | Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association |
| title_fullStr | Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association |
| title_full_unstemmed | Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association |
| title_short | Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association |
| title_sort | idiopathic clubbing confined to lower limb digits and idiopathic pulmonary fibrosis an unusual association |
| url | http://dx.doi.org/10.1155/2012/684285 |
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