Definition Clubbing is a thickening of the flesh under the toenails and fingernails. The nail curves downward, similar to the shape of the round part of an upside-down spoon. Alternative Names Clubbing Considerations Clubbing occurs with a wide number of diseases. It is most often found in heart and lung diseases that cause a lower-than-normal amount of oxygen in the blood. Clubbing may also be due to lung cancer, and diseases of the liver and gastrointestinal tract. Clubbing may also occur in families. In this case it may not be due to an underlying disease. Common Causes Chronic lung conditions
Bronchiectasis Cystic fibrosis Lung abscess Lung cancer Pulmonary fibrosis Congenital heart disease (cyanotic type)
Tetralogy of Fallot Total anomalous venous return Transposition of the great vessels Tricuspid atresia Truncus arteriosus Digestive system diseases
Celiac disease Cirrhosis Crohn's disease and ulcerative colitis Graves disease or hyperthyroidism Other conditions
Dysentery Other types of cancer,...
Alternative Names Web finger repair; Web toe repair; Syndactyly repair References Jobe MT. Congenital anomalies of the hand. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics . 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 76. Vidyadharan R, Lester R. Syndactyly correction: an aesthetic reconstruction. "The Journal of hand surgery, European volume." J Hand Surg Eur Vol . 2010 Jul;35(6):446-50.
You’ve developed a strange little numbness and tingling in the fingers of your left hand. It doesn’t really hurt, but it’s just.... odd. Maybe the tingling goes away on its own and you don’t think about it again. Or maybe it sticks around and even starts to slowly grow so that now your forearm is numb, too. Do you call the doctor? For some tingling fingers.... There are many possible causes of numb fingers. Let’s assume that you didn’t just break your fingers; because if you had, you’d be in the emergency room seeking medical attention. The numbness could be caused by (but less frequently) frostbite, leprosy, or rare genetic disorders, such as Haim-Munk syndrome or hereditary neuropathy with liability to pressure palsies . Do you have diabetes? Pernicious anemia? Hypothyroidism? Peripheral vascular disease? Lupus? Raynaud’s syndrome? Guillaine-Barre syndrome? Cervi...
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