Magazine, Rahul and Shetty, Ranjan and Goneppanavar, Umesh and Mohapatra, Aswini K (2012) Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association. Case Reports in Pulmonology.
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Abstract
A 62-year-old housewife presented to the chest outpatient department with a history of exertional breathlessness of fourmonth 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.
Item Type: | Article |
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Subjects: | Medicine > KMC Manipal > Anaesthesiology Medicine > KMC Manipal > Cardiology Medicine > KMC Manipal > Pulmonary Medicine |
Depositing User: | KMC Manipal |
Date Deposited: | 09 Apr 2013 07:18 |
Last Modified: | 09 Apr 2013 07:18 |
URI: | http://eprints.manipal.edu/id/eprint/79583 |
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