Digital Index of The Fingers with Digital Clubbing: An objective measurement to diagnose clubbed finger.
DOI:
https://doi.org/10.36497/jri.v39i3.65Keywords:
Hippocratic fingers, digital clubbing, finger clubbing, watch glass nails, drumstick fingerAbstract
Introduction: Digital clubbing can often be found as a clinical sign in patients with various underlying diseases. However, early signs of clubbing are often overlooked. To determine the Digital Index values from the fingers with clinical features of clubbing of varies conditions background. Method: This was a prospective, case-series, investigator-initiated observation by morphometry, conducted in Kuching, Malaysia along 6 months duration. Participants were 46 patients with varies stage of clubbing of varies conditions and diseases. We measured the finger at the circumference of the Nail Fold and Distal Interphalangeal joint which determined the value of the Digital Index of a population with finger clubbing. Results: The value of the Digital Index of finger clubbing in this study was 9.89±0.68 (Mean±SD) for male and 9.87±0.39 (Mean±SD) for female. The value of the Digital Index of finger clubbing for all subjects together was 9.88±0.56 (Mean±SD) with a range of 8.43 to 11.26. Conclusion: Early clubbing often be overlooked. To avoid such condition, the physician should examine the fingers as a routine procedure. Measurement of DI can be recommended to detect early clubbing. (J Respir Indo. 2019; 39(3):196-204)Downloads
References
Talley NJ, O’Connor S. Clinical examination (a systematic guide to physical diagnosis). 7th ed. Sydney: Churchill Livingstone Elsevier; 2014. p.60-3.
Swash M. Hutchisons’s Clinical Methods. 21st ed. Edinburg: Saunders; 2002. p15
Kitis G, Thompson H, Allan RN. Finger clubbing in inflammatory bowel disease: its prevalence and pathogenesis. Br Med J. 1979;2(6194):825-8.
Grekas D, Avdelidou A. Digital clubbing as an unusual complication associated with severe secondary hyperparathyroidism: report of two cases. Hemodial Int. 2007;11(2):193-7.
Farzaneh-Far A. Images in clinical medicine. Pseudoclubbing. N England J Med. 2006; 354:e14.
McPhee SJ. “Clubbing” in: Walker H.K., Hall W.D., Hurst J.W (editors). Clinical Methods The History, Physical and Laboratory Examinations. 3rd ed. Stoneham, MA: Butterworth; 1990.
Spicknall KE, Zirwas MJ, English JC 3rd. Clubbing an update on diagnosis, differential diagnosis, pathophysiology, and clinical relevance. J Am Acad Dermatol. 2005;52(6): 1020-8.
Myers KA; Farquhar D. Does this patient have clubbing? JAMA. 2001;286(3):341-7.
Altman RD, Tenenbaum J. Hypertrophic osteoarthropathy. In: Kelly WN, Harris ED, Ruddy S, editors. Textbook of Rheumatology. 5th ed. Philadelphia: WB Saunders Company; 1997. p.1514-20.
Sarkar M, Mahesh DM, Madabhavi Irappa. Digital clubbing. Lung India. 2012;29:354-62.
Karnath B. Digital Clubbing: A sign of underlying disease. Hospital Physician. 2003:25-7.
Weiss EB. Clubbing. In: Greene HL, Glassock RJ, Kelley MA. Introduction to clinical medicine. Philadelphia: BC Decker Inc; 1991. p.474-7.
Vasquez-Abad D, Pineda C, Martinez-Lavin, M; Digital clubbing: A numerical assessment of the deformity. J Rheumatol. 1989;16:518-20.
Djojodibroto RD, Thomas PT, Hla Myint, et al. Device for obtaining value of digital index and fingernail skin-fold angle. Respirology. 2007; 12(Suppl-4):A158.
Husarik D, Vavricka SR, Mark M, et al. Assessment of digital clubbing in medical inpatients by digital photography and computerized analysis. Swiss Med Wkly. 2002:132-8
Baugman RP, Gunther KL, Buchsbaum JA, et al. Prevalence of digital clubbing in bronchogenic carcinoma by a new digital index. Clinical and Experimental Rheumatology.1998;16:21-6.
Djojodibroto RD, Thomas PT, Hla Myint, et al. Measurement of digital index and fingernail skin-fold angle using fingernail morphometric device in health subjects: A study of length of time to do the measurement. J Respir Indo. 2008;28(2):52-9.
Djojodibroto RD, Thomas PT, Kamarudin T Kana, et al. Do we require digital index quantitator? Med J Malaysia. 2014;69(2):57-60.
Masra SMW, Muhammad MS, Djojodibroto RD, et al. Digital circumferential finger measuring device for finger clubbing identification. Journal of Telecommunication, Electronic and Computer Engineering. 2017;9(3-10):23-27.
Roy HS, Wang Z, Ran H, et al. Diagnosis of digital clubbing by high-frequency ultrasound imaging. Int J Dermatol. 2013;52(1):1-5.
Blumsohn D. Clubbing of the fingers, with special reference to Schamroth’s diagnostic method. Heart Lung. 1981;10:1069-72
Lampe RM, Kagan A. Detection of clubbing – Schamroth’s sign. Clin Pediatr (Phila). 1983;22:125
Pyke DA. Finger clubbing validity as a physical sign. Lancet. 1954; 267(6834):352-4.
Rasul S, Khalid MC, Imran N, et al. Gender differences in clinical presentation of idiopathic pulmonary fibrosis at Lahore, Pakistan. ANNALS. 2010;16(4):286-9.
Abdullah L, Abbas O, Common nail changes and disorders in older people. Can Fam Physician. 2011;57:173-81
Singh G, Haneef NS, Uday A. Nail changes and disorders among the elderly. Indian J Dermatol, Venereol Leprol. 2005;71(6):386-92.
Dutta TK, Das AK. Clubbing ̶ a reevaluation of its incidence and causes. J Assoc Physicians India. 1996;44:175-7.
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