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Case Reports
. 2010 Jan;14(1):84-6.
doi: 10.1111/j.1542-4758.2009.00401.x.

Unilateral digital clubbing in a hemodialysis patient

Jamshid Roozbeh  1 , Mohammad Mehdi Sagheb, Vahideh Yavari, Bahar Bastani, Ghanbar A Raeesjalali
Affiliations
Case Reports

Unilateral digital clubbing in a hemodialysis patient

Jamshid Roozbeh et al. Hemodial Int. 2010 Jan.

Abstract

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.

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