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Unilateral digital clubbing in a hemodialysis patient
Author(s) -
ROOZBEH Jamshid,
SAGHEB Mohammad Mehdi,
YAVARI Vahideh,
BASTANI Bahar,
RAEESJALALI Ghanbar A.
Publication year - 2010
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1542-4758.2009.00401.x
Subject(s) - medicine , spinal osteoarthropathy , hemodialysis , hypertrophic osteoarthropathy , arteriovenous fistula , fistula , surgery , dermatology
We present an unusual case of a chronic hemodialysis patient with moderate diffuse acrocyanosis and prominent unilateral clubbing of his right hand fingers, with classic physical features of hypertrophic osteoarthropathy. The patient's left hand, which had a functioning arteriovenous fistula, did not show any evidence of clubbing. We briefly discuss the different theories in regards to the pathogenesis of clubbing, and the potential role of arteriovenous fistula in preventing its occurrence.